Individual provider Active NPI

Thomas P. Schaaf, M.D.

  • Family Medicine Physician
  • Tukwila, WA
National Provider Identifier
1316910946
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00029566 Issued in WA
Practice address
2811 S 102ND St Ste 200
Tukwila, WA 98168-1816
Phone
(206) 479-8419
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00029566 WA Primary

Addresses

Primary practice location

2811 S 102ND St Ste 200
Tukwila, WA 98168-1816

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 474-6841

Other identifiers 1

IdentifierTypeStateIssuer
8137564MedicaidWA

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
I20040720000196 WA Practitioner - Family Practice 1759360969

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
CP Seattle Wa Hospice, LLC Family Medicine Current Accepting new patients
Providence Health & Services - Washington CurrentSince Apr 1, 2021 Accepting new patients

Locations

2811 S 102nd St
Ste 220
Tukwila, WA 98168
Phone (206) 320-4000

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1316910946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "509-474-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S 102ND ST STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981681816",
            "telephone_number": "206-479-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAF",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00029566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8137564",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.