Individual provider Active NPI

Ann Pittier, MD

  • Radiation Oncology Physician
  • Tacoma, WA
National Provider Identifier
1306950894
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD00044094 Issued in WA
Practice address
1802 Yakima Ave Ste 103
Tacoma, WA 98405-5303
Phone
(253) 272-1077
Fax
(253) 627-8792
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD00044094 WA Primary

Addresses

Primary practice location

1802 Yakima Ave Ste 103
Tacoma, WA 98405-5303

Mailing address

4230 Bridgeport Way W Ste B
University Place, WA 98466-4335
Phone (253) 779-6325

Other identifiers 1

IdentifierTypeStateIssuer
8550725MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tacomaradiation@directaddress.net Direct

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
I20090902000121 WA Practitioner - Radiation Oncology 2668527375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Rad Onc Ctr LLCGroup PAC ID 6204990450, 5 clinicians
Tacoma Radiation Oncology Center Inc, PSGroup PAC ID 1658260302, 6 clinicians

Practice addresses (Care Compare)

11511 Canterwood Blvd
Suite 50
Gig Harbor, WA 98332-5816
Phone (253) 851-5155

1802 Yakima Ave
Suite 103
Tacoma, WA 98405-5303
Phone (253) 272-1077

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Rad Onc Ctr LLC Radiation Oncology CurrentSince Sep 17, 2019 Accepting new patients

Locations

11511 Canterwood Blvd
Ste 50
Gig Harbor, WA 98332
Phone (253) 530-2939

314 Martin Luther King Jr Way
Ste 11
Tacoma, WA 98405
Phone (253) 627-6172

4230 Bridgeport Way W
Ste B
University Place, WA 98466
Phone (253) 272-1077

Interoperability endpoints

  • Direct secure messaging: tacomaradiation@directaddress.net

Organizations & group practices 2

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 3

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1306950894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 BRIDGEPORT WAY W STE B",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664335",
            "telephone_number": "253-779-6325",
            "fax_number": "253-627-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055303",
            "telephone_number": "253-272-1077",
            "fax_number": "253-627-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTIER",
        "first_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-04-13",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00044094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8550725",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tacomaradiation@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "CCDA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1802 Yakima Ave Ste 103",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.