Tumaini Rucker Coker, M.D.
Individual provider Active NPI Pediatrics Physician · Mercer Island, WA
NPI 1295892149 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1295892149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A81110 (CA)
- Practice address
- 9107 SE 78TH PL
Mercer Island, WA 98040 - Phone
- (310) 663-6721
- Fax
- (310) 663-6721
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
55 Merchant St
Honolulu, HI 96813-4333
PO Box
Suite 740266
Los Angeles, CA 90074-0266
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161206002403 | WA | Practitioner - Pediatric Medicine | 7214039155 | Reassigns benefits to 2 organizations |
| I20251210002292 | HI | Practitioner - Pediatric Medicine | 7214039155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81110 | CA | MD | Marriage & Family Therapist |
| A81110 | CA | MD | Pediatrics Physician |
| 036111712 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Childrens Hospital | Current |
Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Current |
Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Current |
Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Pediatrics | Current |
Accepting new patients |
| Association of CHMC and University Physicians | Pediatrics | Current |
Accepting new patients |
| UCLA Medical Group | Pediatrics | Past | Accepting new patients |
| Kapiolani Medical Center | Past | Accepting new patients |
Locations
1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Interoperability endpoints
- tcoker24677@direct.seattlechildrens.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036111712 | IL | |
| Pediatrics Physician | 208000000X | A81110 | CA | Yes |
Addresses
Primary practice location
9107 SE 78TH PL
Mercer Island, WA 98040
Mailing address
9107 SE 78TH PL
Mercer Island, WA 98040
Phone (310) 663-6721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A811100 | Medicaid | CA | |
| A81110 | Other | CA | PROFESSIONAL LICENSE |
| 036111712 | Medicaid | IL |
Other names
- Tumaini Joel Rucker
Other providers in Mercer Island, WA
- Nakyung Choe
- Samuel Chong
- City of Mercer Island
- City of Mercer Island
- Erica Lynne Clark
- Paul Dewitt Conrad
- Cormedical, Inc.
- Jillian Clarke Correa
- Covenant Living West
- Creative Speech and Language Services PLLC
All providers in Mercer Island, WA · Pediatrics 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 Sep 23, 2016. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.