Active NPI
Nupur Garg, D.O.
- Internal Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1422
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-1000 - Phone
- (253) 968-0249
- NPI assigned
- Feb 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1422 | NE | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-1000
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-1000
Other practice location 1
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-0208
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
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760
3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442
904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 309-1760
Hospital & facility affiliations
- Swedish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1422 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic | Current | Accepting new patients | |
| Optum Care Washington PLLC | Internal Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Internal Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Internal Medicine | Current | Accepting new patients |
| Optum Care Washington PLLC | Internal Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Past | Accepting new patients |
Locations
3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1145 Broadway
Seattle, WA 98122
1448 NW Market St
Seattle, WA 98107
Phone (206) 781-6353
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900
Interoperability endpoints
- ngarg35278@direct.tecmc.com
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Internal Medicine
-
- Radiation Oncology Physician
- Seattle, WA
- NPI 1962824219
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1346620200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1134544299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311000",
"telephone_number": "253-968-0249"
}
],
"practiceLocations": [
{
"address_1": "9040 Fitzsimmons Dr",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "984311000",
"country_code": "US",
"telephone_number": "253-968-0208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARG",
"first_name": "NUPUR",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "1422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.