NPIMap

Individual provider Active NPI

Ryan Russell Strilaeff, MD

  • Vascular & Interventional Radiology Physician
  • Longview, WA
National Provider Identifier
1093193492
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD61137566 Issued in WA
Practice address
1615 Delaware St
Longview, WA 98632-2367
Phone
(360) 414-2000
Fax
(360) 514-2663
NPI assigned
May 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD61137566 WA
Vascular & Interventional Radiology Physician 2085R0204X MD61137566 WA Primary

Addresses

Primary practice location

1615 Delaware St
Longview, WA 98632-2367

Mailing address

19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

2101 NE 139th St Ste 380
Vancouver, WA 98686-2309
Phone (360) 487-1888

Other identifiers 8

IdentifierTypeStateIssuer
0438994OtherWAL & I - SOUTH SOUND RADIOLOGY
0438989OtherWAL & I - EVERGREEN RADIA
0438998OtherWAL & I - VANCOUVER RADIOLOGISTS
0438978OtherWAL & I - RADIA
0438976OtherWAL & I - RADIA
0438985OtherWAL & I - SWEDISH RADIA
2180065MedicaidWA
0438996OtherWAL & I - SEATTLE RADIOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709000672 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1153723481 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians

Practice addresses (Care Compare)

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

2101 NE 139TH St
Suite 360
Vancouver, WA 98686-2313
Phone (360) 487-1965

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 11, 2021 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 11, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 1, 2024 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 11, 2021 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 11, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 1, 2024 Accepting new patients
Central Washington Health Services Association CurrentSince Mar 1, 2022 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 11, 2021 Accepting new patients
Wenatchee Valley Hospital CurrentSince Oct 27, 2021 Accepting new patients

Locations

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2101 NE 139th St
Ste 380
Vancouver, WA 98686
Phone (360) 487-1888

2101 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 256-2640

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Interoperability endpoints

  • Direct secure messaging: rstrilaeff482916@direct.peacehealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1093193492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-2000",
            "fax_number": "360-514-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 NE 139th St Ste 380",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862309",
            "country_code": "US",
            "telephone_number": "360-487-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRILAEFF",
        "first_name": "RYAN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61137566",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD61137566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - SOUTH SOUND RADIOLOGY",
            "identifier": "0438994",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - EVERGREEN RADIA",
            "identifier": "0438989",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - VANCOUVER RADIOLOGISTS",
            "identifier": "0438998",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - RADIA",
            "identifier": "0438978",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - RADIA",
            "identifier": "0438976",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - SWEDISH RADIA",
            "identifier": "0438985",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180065",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - SEATTLE RADIOLOGY",
            "identifier": "0438996",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.