Individual provider Active NPI

Aliakbar Rashid Dadla, M.D.

  • Hematology & Oncology Physician
  • Vancouver, WA
National Provider Identifier
1134474976
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD61148959 Issued in WA
Practice address
505 NE 87TH Ave Ste 320
Vancouver, WA 98664-1965
Phone
(360) 514-2550
Fax
(360) 514-1927
NPI assigned
Jul 18, 2012
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Oncology Physician 207RX0202X MD61148959 WA
Internal Medicine Physician 207R00000X MD61148959 WA
Hematology & Oncology Physician 207RH0003X E-11133 AR
Hematology & Oncology Physician 207RH0003X MD61148959 WA Primary

Addresses

Primary practice location

505 NE 87TH Ave Ste 320
Vancouver, WA 98664-1965

Mailing address

24 Park PL
Apt 18 D
Hartford, CT 06106-5008
Phone (914) 312-5583

Other practice location 1

7001 Rogers Ave
Fort Smith, AR 72903-4073
Phone (479) 314-7490

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
I20210603001538 WA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology 2961721766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology, Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1624 S I St
Suite 102
Tacoma, WA 98405-5029
Phone (253) 428-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11133ARMDHematology & Oncology Physician
MD61148959WAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Specialties PLLC CurrentSince Apr 1, 2023 Accepting new patients
Northwest Medical Specialties Pharmacy PastSince Apr 1, 2023 Accepting new patients

Locations

3920 Capital Mall Dr SW
Ste 402
Olympia, WA 98502
Phone (360) 704-4786

3920 Capital Mall Dr SW
Ste 404
Olympia, WA 98502

1624 S I St
Ste 102
Tacoma, WA 98405
Phone (253) 383-3366

1624 S I St
Ste 305
Tacoma, WA 98405
Phone (253) 383-3376

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1134474976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARK PL",
            "address_2": "APT 18 D",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065008",
            "telephone_number": "914-312-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE STE 320",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641965",
            "telephone_number": "360-514-2550",
            "fax_number": "360-514-1927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034073",
            "country_code": "US",
            "telephone_number": "479-314-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADLA",
        "first_name": "ALIAKBAR",
        "middle_name": "RASHID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD61148959",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61148959",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E-11133",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD61148959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.