NPIMap

Organization Active NPI

Northwest Cancer Care Associates PC

Doing business as Dermatology Solutions

  • Radiation Oncology Physician
  • Kennewick, WA
National Provider Identifier
1164810545
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
NORTHWEST CANCER CARE ASSOCIATES PC
Doing business as
Dermatology Solutions
Northwest Cancer Clinic
Practice address
7379 W Deschutes Ave Ste 100
Kennewick, WA 99336-7900
Phone
(509) 987-1800
Fax
(509) 987-1808
NPI assigned
Jan 7, 2015
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Melissa Schroader
Title
Credentialing Specialist
Phone
(602) 932-8288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

7379 W Deschutes Ave Ste 100
Kennewick, WA 99336-7900

Mailing address

7379 W Deschutes Ave Ste 100
Kennewick, WA 99336-7900
Phone (509) 987-1800

Other practice location 1

4309 W 27th Pl # 301
Kennewick, WA 99338-2904
Phone (509) 303-3428

Other identifiers 1

IdentifierTypeStateIssuer
1164810545MedicaidWA

Other names 2

  • Dermatology Solutions Doing business as
  • Northwest Cancer Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150615001025 WA Part B Supplier - Clinic/Group Practice 5193036390 Receives reassigned benefits from 6 practitioners
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

1050 W Elm Ave
Ste 150
Hermiston, OR 97838
Phone (541) 289-2060

7379 W Deschutes Ave
Kennewick, WA 99336
Phone (509) 987-1800

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1164810545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7379 W DESCHUTES AVE STE 100",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367900",
            "telephone_number": "509-987-1800",
            "fax_number": "509-987-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7379 W DESCHUTES AVE STE 100",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367900",
            "telephone_number": "509-987-1800",
            "fax_number": "509-987-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 W 27th Pl # 301",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993382904",
            "country_code": "US",
            "telephone_number": "509-303-3428",
            "fax_number": "509-436-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST CANCER CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "SCHROADER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "602-932-8288"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164810545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.