Active NPI
Douglas Joseph Hartz, MD
- Diagnostic Radiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60341376
- Practice address
- 1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900 - Phone
- (253) 761-4200
- Fax
- (253) 761-4201
- NPI assigned
- May 31, 2007
- 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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | MD60341376 | WA | |
| Neuroradiology Physician | 2085N0700X | MD165183 | OR | |
| Diagnostic Radiology Physician | 2085R0202X | MD165183 | OR | |
| Diagnostic Radiology Physician | 2085R0202X | MD60341376 | WA | Primary |
Addresses
Primary practice location
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Mailing address
PO Box 1535
Tacoma, WA 98401-1535
Phone (253) 761-4200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0316863 | Other | WA | L&I-TRA REST OF WA |
| 500670939 | Medicaid | OR | |
| 0316864 | Other | WA | L&I-UNION AVE OPEN MRI |
| 2028592 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130828000398 | WA | Practitioner - Diagnostic Radiology | 6608019393 | Reassigns benefits to 3 organizations |
| I20210305000192 | AZ | Practitioner - Diagnostic Radiology | 6608019393 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arizona College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tra-Minw P SMedical Imaging Northwest - Good Samaritan Hospital Imaging AllianceUnion Avenue Open MRI LLC
Practice addresses (Care Compare)
Phoenix, AZ 85021
Phone (253) 841-4353
222 15TH Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353
2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 841-4353
88 W State Ave
Phoenix, AZ 85021-8752
Phone (253) 841-4353
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- St Francis Community Hospital
- St Elizabeth Hospital
- St Joseph Medical Center
- Multicare Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD165183 | OR | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Past | Accepting new patients | |
| Tra-Minw P S | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999
9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258
3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251
1625 N Campbell Ave
Tucson, AZ 85719
21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391
5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633
4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622
500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307
11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374
222 15th Ave SE
Puyallup, WA 98372
3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399
5919 100th St SW
Tacoma, WA 98499
1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372
1304 Fawcett Ave
Ste 200
Tacoma, WA 98402
Phone (253) 781-4200
2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-trami
Organizations & group practices 7
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.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
AZ, WA
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
AZ, Diagnostic Radiology
-
- Radiology Clinic/Center
- Bonney Lake, WA
- NPI 1760636930
-
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1184790032
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Enumclaw, WA
- NPI 1073674040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1235330754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1535",
"city": "TACOMA",
"state": "WA",
"postal_code": "984011535",
"telephone_number": "253-761-4200",
"fax_number": "253-383-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 FAWCETT AVE STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021900",
"telephone_number": "253-761-4200",
"fax_number": "253-761-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZ",
"first_name": "DOUGLAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "WA",
"license": "MD60341376",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OR",
"license": "MD165183",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD165183",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60341376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-TRA REST OF WA",
"identifier": "0316863",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500670939",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-UNION AVE OPEN MRI",
"identifier": "0316864",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2028592",
"state": "WA"
}
],
"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 Aug 30, 2024; 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.