Active NPI
Justin Paul Dodge, M.D.
- Diagnostic Radiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD-12669
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-5001 - Phone
- (253) 968-4978
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME160738 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | MD-12669 | HI | Primary |
| Neuroradiology Physician | 2085N0700X | MD-12669 | HI | |
| Diagnostic Radiology Physician | 2085R0202X | 036175261 | IL |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-5001
Mailing address
94-226 Haea PL
Waipahu, HI 96797-5455
Other practice location 1
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (904) 399-5800
Other practice location 2
4800 Maine St
Quincy, IL 62305-5875
Phone (217) 224-6423
Other practice location 3
100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 231-3731
Other practice location 4
927 Broadway St
Quincy, IL 62301-2719
Phone (217) 223-8400 ext. 7450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, PA, NY, MO, IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Olympia, WA 98513
Phone (713) 461-3573
East Wenatchee, WA 98802
Phone (906) 449-3000
1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-9000
1440 Brittany LN NE
Apt K102
Lacey, WA 98516-4721
Phone (380) 235-6195
160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685
22306 59TH Ave NE
Arlington, WA 98223-5603
Phone (904) 399-5550
22809 SE 268TH PL
Maple Valley, WA 98038-6878
Phone (718) 223-4685
332 N 133Rd St
Apt 3C
Seattle, WA 98133-7402
Phone (336) 274-6682
3325 31St Dr
Everett, WA 98201-4952
Phone (219) 767-6320
8818 52ND Court W
University Place, WA 98467
Phone (270) 417-6126
9116 Fox Ridge LN SE
Olympia, WA 98513-5692
Phone (337) 439-4706
Hospital & facility affiliations
- St Francis Hospital - the Heart Center
- Good Samaritan Hospital Medical Center
- Holy Redeemer Hospital and Medical Center
- Mercy Medical Center
- Chsli St Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160738 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| HR Physician Services | Current | Accepting new patients | |
| Imaging Group of Delaware, PA | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| HR Physician Services | Current | Accepting new patients | |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| HR Physician Services | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Neuroradiology | Current | Accepting new patients |
| HR Physician Services | Current | Accepting new patients | |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Coastal Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Neuroradiology | Current | Accepting new patients |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Millennium Medical Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Canton, Inc. | Neuroradiology | Past | Accepting new patients |
Locations (25 of 37)
800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100
1937 Momentum Pl
Chicago, IL 60689
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
1005 Broadway St
Quincy, IL 62301
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
295 Main St
Calhoun, KY 42327
Phone (270) 273-9310
140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780
107 E Main St
Earlington, KY 42410
Phone (270) 383-2521
44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
210 N Main St
Morgantown, KY 42261
Phone (270) 504-1300
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770
215 E Main St
Providence, KY 42450
Phone (270) 667-7017
1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
100 Medical Dr
Hannibal, MO 63401
101 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 27
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.
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
WA
-
- Diagnostic Radiology Physician
- Hamilton, NJ
- NPI 1811994791
Neuroradiology, WA
-
- Diagnostic Radiology Physician
- Alexandria, LA
- NPI 1033215710
WA
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
-
- General Acute Care Hospital
- Bethpage, NY
- NPI 1013998426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1235112962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-226 HAEA PL",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967975455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315001",
"telephone_number": "253-968-4978"
}
],
"practiceLocations": [
{
"address_1": "800 Meadows Rd",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334862304",
"country_code": "US",
"telephone_number": "904-399-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Maine St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623055875",
"country_code": "US",
"telephone_number": "217-224-6423",
"fax_number": "217-214-6295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016877",
"country_code": "US",
"telephone_number": "573-231-3731",
"fax_number": "573-231-3731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "927 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012719",
"country_code": "US",
"telephone_number": "217-223-8400 x7450",
"fax_number": "217-214-6295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODGE",
"first_name": "JUSTIN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME160738",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD-12669",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "HI",
"license": "MD-12669",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036175261",
"primary": false
}
],
"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 May 18, 2026; 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.