Richard A Kahlstrom, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Tacoma, WA
NPI 1093708992 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1093708992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- MD00030019 (WA)
- Practice address
- 2420 S State St
Tacoma, WA 98405-2845 - Phone
- (253) 426-4000
- Fax
- (253) 428-8440
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- University of Washington School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341
11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341
1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200
34503 9TH Ave S
Federal Way, WA 98003-8726
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977
Hospital & facility affiliations
- St Joseph Medical Center
- St Anthony Hospital
- St Francis Community Hospital
- St Clare Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070927000709 | WA | Practitioner - Pulmonary Disease |
4981696010 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Internal Medicine | Current |
Accepting new patients |
| Franciscan Medical Group | Internal Medicine | Current |
Accepting new patients |
| Franciscan Medical Group | Current |
Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Internal Medicine | Current |
Accepting new patients |
| Franciscan Medical Group | Past |
Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
34509 9th Ave S
Ste 104
Federal Way, WA 98003
Phone (253) 572-5140
2920 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 604-4599
316 S K St
Ste 401
Tacoma, WA 98405
Phone (206) 572-5140
2420 S State St
Tacoma, WA 98405
Phone (253) 426-4000
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1708 Yakima Ave
Ste 300
Tacoma, WA 98405
Phone (253) 363-8700
Interoperability endpoints
- rkahlstrom8664@fhsce.catholichealth.net
- rkahlstrom23765@direct.slhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD00030019 | WA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD00030019 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD00030019 | WA | Yes |
Addresses
Primary practice location
2420 S State St
Tacoma, WA 98405-2845
Mailing address
2420 S State St
Tacoma, WA 98405-2845
Phone (253) 426-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002150 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rkahlstrom8664@fhsce.catholichealth.net | Direct | |
| Direct Messaging Address | rkahlstrom8664@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Other providers in Tacoma, WA
- Susan Miye Kaeka
- Kelly Ellen Kafka
- Navyamani Venkata Durga Kagita
- Robert A. Kahle
- Audry Jean Kahlstrom
- Robert Anthony Kahns
- Jeffrey Bernal Kahrs
- Amit Singh Kainth
- Kaipuokaualoku, LLC
- Laura Sharon Kairuz
All providers in Tacoma, WA · Critical Care Medicine (Internal Medicine) Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.