Wataru Tamura, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD60258237 Issued in WA

Practice address

11027 Meridian Ave N
Suite 100
Seattle, WA 98133-1705

Phone

(206) 365-4492

Fax

(206) 368-3456

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Puget Sound Gastroenterology PLLCGroup PAC ID 1759278252, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Merit-based Incentive Payment System (MIPS)

Final score

79.82 of 100Reported as group

Quality

54.75

Promoting interoperability

98

Improvement activities

40

Cost

79.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wataru.tamura@gastrohealth.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Puget Sound Gastroenterology, PLLC

  • Clinical Medical Laboratory
  • Lynnwood, WA
  • NPI 1689646838
  Medicare reassignment Care Compare group NPD
• Puget Sound Gastroenterology, PLLC

  • Gastroenterology Physician
  • Olympia, WA
  • NPI 1386340164
  NPD
• Puget Sound Gastroenterology, PLLC

  • Gastroenterology Physician
  • Seattle, WA
  • NPI 1649212606
  NPD
• Puget Sound Gastroenterology, PLLC

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1720059348
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1306992151
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1073658365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16504 9TH AVE SE",
            "address_2": "SUITE 106",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126396",
            "telephone_number": "425-977-4620",
            "fax_number": "425-745-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 MERIDIAN AVE N",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331705",
            "telephone_number": "206-365-4492",
            "fax_number": "206-368-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMURA",
        "first_name": "WATARU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60258237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040804",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donovan Lee Tamkin
• Clyde Tamparong
• Mahlet Tamrat, PAC
• Glen S Tamura
• Kathryn Tamura, PHARM.D.
• Alexander Tan, N.D.
• Crystal Tan, RN
• Derek W Tan, MD
• Jade Cui Ting Tan, ND
• Jenna Hui Juan Tan

• Gastroenterology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.