Individual provider Active NPI

Jaisimha K Iyengar, MD

  • Interventional Pain Medicine Physician
  • Tacoma, WA
National Provider Identifier
1194770164
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD00036006 Issued in WA
Practice address
1818 S Union Ave
Ste 1a
Tacoma, WA 98405-1953
Phone
(253) 627-2666
Fax
(253) 627-8661
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD00036006 WA Primary

Addresses

Primary practice location

1818 S Union Ave
Ste 1a
Tacoma, WA 98405-1953

Mailing address

PO Box 111750
Tacoma, WA 98411-1750
Phone (253) 627-2666

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
I20071226000259 WA Practitioner - Pain ManagementPractitioner - Other (Physician) 8022908714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4210 10TH St SE
Puyallup, WA 98374-2191
Phone (253) 627-2666

Merit-based Incentive Payment System (MIPS)

Final score
22.75 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Interventional Pain Center PLLC Interventional Pain Medicine CurrentSince Apr 1, 2002 Accepting new patients
Cascade Interventional Pain Center Current Accepting new patients

Locations

4210 10th St SE
Puyallup, WA 98374
Phone (253) 627-2666

1818 S Union Ave
Ste 1A
Tacoma, WA 98405
Phone (206) 212-0977

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194770164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111750",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984111750",
            "telephone_number": "253-627-2666",
            "fax_number": "253-627-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S UNION AVE",
            "address_2": "STE 1A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051953",
            "telephone_number": "253-627-2666",
            "fax_number": "253-627-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "JAISIMHA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "MD00036006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.