Individual provider Active NPI

Poya Pourghaderi, DO

  • Colon & Rectal Surgery Physician
  • Tacoma, WA
National Provider Identifier
1306341706
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
OP61508886 Issued in WA
Practice address
1901 S Union Ave Suite 6001
Building B
Tacoma, WA 98405-2485
Phone
(253) 301-5077
Fax
(253) 864-3923
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X OP61508886 WA Primary

Addresses

Primary practice location

1901 S Union Ave Suite 6001
Building B
Tacoma, WA 98405-2485

Mailing address

1901 S Union Ave Ste 6001
Tacoma, WA 98405-1702
Phone (253) 301-5077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240917004746 WA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 3072054055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

202 N Division St
Auburn, WA 98001-4939

3124 S 19TH St
Tacoma, WA 98405-2433

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962

4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015
  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • Multicare Covington Medical Center Hospital, Covington, WA, CCN 500154

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Aug 7, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 7, 2024 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3124 S 19th St
Ste C320
Tacoma, WA 98405
Phone (253) 301-5100

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1901 S Union Ave
Ste B6001
Tacoma, WA 98405
Phone (253) 272-4041

Interoperability endpoints

  • Direct secure messaging: ppourghaderi332533@direct.phhs.org

Organizations & group practices 4

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 4

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1306341706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE STE 6001",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-301-5077",
            "fax_number": "253-864-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE SUITE 6001",
            "address_2": "BUILDING B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052485",
            "telephone_number": "253-301-5077",
            "fax_number": "253-864-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURGHADERI",
        "first_name": "POYA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "WA",
            "license": "OP61508886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.