Individual provider Active NPI

Donald L Trippel, M.D.

  • Pediatric Cardiology Physician
  • Tacoma, WA
National Provider Identifier
1083775902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD00019632 Issued in WA
Practice address
1901 S Cedar St Ste 103
Tacoma, WA 98405-2302
Phone
(253) 272-1812
Fax
(253) 682-1455
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD00019632 WA Primary

Addresses

Primary practice location

1901 S Cedar St Ste 103
Tacoma, WA 98405-2302

Mailing address

PO Box 5098
Tacoma, WA 98415-0098
Phone (253) 272-1812

Other identifiers 3

IdentifierTypeStateIssuer
8209942MedicaidWA
4337780OtherWAAETNA
TR7403OtherWAREGENCE BLUE CROSS SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060120000795 WA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 5496779126 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00019632WAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Childrens Hospital CurrentSince Apr 8, 2014 Accepting new patients
Seattle Children'S Hospital CurrentSince Apr 8, 2014 Accepting new patients
Seattle Children'S Hospital Current Accepting new patients
Valley Medical Group-Renton CurrentSince Apr 15, 2018 Accepting new patients
Children'S Hospital & Regional Medical Center 2 Past Accepting new patients
Northwest Pediatric Heart Specialists PLLC Pediatric Cardiology Past Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

34503 9th Ave S
Ste 300
Federal Way, WA 98003
Phone (253) 838-5878

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4033 Talbot Rd S
Ste 440
Renton, WA 98055
Phone (425) 656-5321

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

1901 S Cedar St
Ste 103
Tacoma, WA 98405
Phone (253) 272-1812

Interoperability endpoints

  • Direct secure messaging: dtrippel59209@direct.valleymed.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083775902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5098",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150098",
            "telephone_number": "253-272-1812",
            "fax_number": "253-682-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052302",
            "telephone_number": "253-272-1812",
            "fax_number": "253-682-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPPEL",
        "first_name": "DONALD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WA",
            "license": "MD00019632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8209942",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4337780",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS SHIELD",
            "identifier": "TR7403",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.