NPIMap

Individual provider Active NPI

Andris Edward Radvany, M.D.

  • Hospitalist Physician
  • Bellingham, WA
National Provider Identifier
1245233576
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD00037990 Issued in WA
Practice address
3130 Squalicum Pkwy
Suite 100
Bellingham, WA 98225-1940
Phone
(360) 756-0382
Fax
(360) 756-5184
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD00037990 WA Primary

Addresses

Primary practice location

3130 Squalicum Pkwy
Suite 100
Bellingham, WA 98225-1940

Mailing address

709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766
Phone (360) 318-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060519000148 WA Practitioner - HospitalistPractitioner - Internal Medicine 8224049663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00037990WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Washington, PC Hospitalist CurrentSince Feb 1, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Hospitalist Current Accepting new patients
South Sound Inpatient Physicians, PLLC Hospitalist CurrentSince May 26, 2016 Accepting new patients
Northwest Inpatient Services Past Accepting new patients
Peacehealth Past Accepting new patients
Peacehealth Hospitalist Past Accepting new patients
Andris Radvany MD Inc PastSince Apr 23, 2006 Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

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.

Hospital & facility affiliations 12

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1245233576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W ORCHARD DR STE 4",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251766",
            "telephone_number": "360-318-8800",
            "fax_number": "360-318-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SQUALICUM PKWY",
            "address_2": "SUITE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251940",
            "telephone_number": "360-756-0382",
            "fax_number": "360-756-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADVANY",
        "first_name": "ANDRIS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD00037990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.