Franciscan Health System
Organization Active NPI Vascular Surgery Physician · Federal Way, WA
NPI 1285825786 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1285825786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- MD00045124 (WA)
- Legal business name
- FRANCISCAN HEALTH SYSTEM
- Practice address
- 34509 9TH Ave S
#103
Federal Way, WA 98003-6700 - Phone
- (253) 838-5126
- Fax
- (253) 833-8081
- NPI assigned
- Aug 8, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- FRANCISCAN HEALTH SYSTEM
Authorized official
- Name
- Mike Fitzgerald
- Title
- VP, Financial Ops
- Phone
- (253) 552-4105
Other NPIs on the same Medicare enrollment 26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000147 | WA | Part B Supplier - Clinic/Group Practice | 1557254935 |
Receives reassigned benefits from 27 practitioners 26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tacoma, WA; University Place, WA; Silverdale, WA; Puyallup, WA; Lakewood, WA; Gig Harbor, WA |
National Provider Directory
- Part of
- Franciscan HLTH System West
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | MD00045124 | WA | Yes |
Addresses
Primary practice location
34509 9TH Ave S
#103
Federal Way, WA 98003-6700
Mailing address
202 N Division St
Ste 402
Auburn, WA 98001-4939
Phone (253) 833-8032
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7129737 | Medicaid | WA |
Other names
- Rakesh Safaya, MD - Federal Way
NPI Registry JSON
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1285825786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"address_2": "STE 402",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-833-8032",
"fax_number": "253-833-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34509 9TH AVE S",
"address_2": "#103",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036700",
"telephone_number": "253-838-5126",
"fax_number": "253-833-8081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRANCISCAN HEALTH SYSTEM",
"enumeration_date": "2007-08-08",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "VP, FINANCIAL OPS",
"authorized_official_telephone_number": "253-552-4105"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "MD00045124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7129737",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rakesh Safaya, MD - Federal Way",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Federal Way, WA
- Laurence Scott Fox
- Michael J Franceschina
- Nicholas Dale Francis
- Franciscan City Urgent Care Services
- Franciscan Health System
- Franciscan Health System
- Franciscan Health System
- Franciscan Health System
- Franciscan Medical Group
- Franciscan Medical Group
All providers in Federal Way, WA · Vascular Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.