Active NPI
James D Pister, MD
- Diagnostic Radiology Physician
- Federal Way, WA
National Provider Identifier
1093705337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00017852
- Practice address
- 1911 SW Campus Dr.
#107
Federal Way, WA 98023 - Phone
- (253) 839-0170
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1493 | AK | |
| Diagnostic Radiology Physician | 2085R0202X | MD00017852 | WA | Primary |
| General Practice Physician | 208D00000X | MD00017825 | WA |
Addresses
Primary practice location
1911 SW Campus Dr.
#107
Federal Way, WA 98023
Mailing address
1911 SW Campus Dr # 107
Federal Way, WA 98023-6473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8396525 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Washington School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
902 SW 295TH St
Federal Way, WA 98023-8213
Phone (260) 432-1568
Hospital & facility affiliations
- Marion General Hospital
- Woodlawn Hospital
- Adams Memorial Hospital
- Memorial Hospital
- The Orthopaedic Hospital of Lutheran Health Networ
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.96 of 100
- Quality
- 92.18
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00017852 | WA | MD | Diagnostic Radiology Physician |
| MD00017825 | WA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- Critical Access Hospital
- Rochester, IN
- NPI 1265413405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1093705337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 SW CAMPUS DR # 107",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980236473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 SW CAMPUS DR.",
"address_2": "#107",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98023",
"telephone_number": "253-839-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISTER",
"first_name": "JAMES",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AK",
"license": "1493",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00017852",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MD00017825",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8396525",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.