Active NPI
Poya Pourghaderi, DO
- Colon & Rectal Surgery Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- OP61508886
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- 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
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
- Multicare Auburn Medical Center
- Multicare Good Samaritan Hospital
- Multicare Covington Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | 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
- 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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1154818326
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, WA
- NPI 1255327201
-
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.