Individual provider Active NPI

Justin Paul Dodge, M.D.

  • Diagnostic Radiology Physician
  • Tacoma, WA
National Provider Identifier
1235112962
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-12669 Issued in HI
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

Updated by the provider on May 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20240109001940 WA Practitioner - Diagnostic Radiology 6002960895 Reassigns benefits to 15 organizations
I20250117002519 PA Practitioner - Diagnostic Radiology 6002960895 Reassigns benefits to 1 organization
I20250903001202 NY Practitioner - Diagnostic Radiology 6002960895 Reassigns benefits to 1 organization
I20250909003875 MO Practitioner - Diagnostic Radiology 6002960895 Reassigns benefits to 1 organization
I20250911001692 IL Practitioner - Diagnostic Radiology 6002960895 Reassigns benefits to 1 organization
I20260122003778 MI Practitioner - Diagnostic Radiology 6002960895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

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 Hospital, Roslyn, NY, CCN 330182
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME160738FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Aug 15, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Nov 16, 2025 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology CurrentSince Aug 17, 2024 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Feb 5, 2024 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Oct 6, 2025 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Dec 17, 2023 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Blessing Hospital CurrentSince Aug 15, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 13, 2025 Accepting new patients
Radiology Affiliates of Central New Jersey PC Neuroradiology CurrentSince May 26, 2024 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Dec 3, 2023 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Oct 6, 2025 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Nov 26, 2023 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 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

  • FHIR API: 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.

View all 27

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.