Grant Parker Tibbetts, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD60456798 Issued in WA

Practice address

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900

Phone

(253) 761-4200

Fax

(253) 761-4201

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

No

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.

• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1083802946

  NC, WA

  Medicare reassignment Care Compare group NPD
• Tra-Minw P S

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1396814166

  NC, WA

  Medicare reassignment Care Compare group
• Greensboro Radiology, PA

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1821035999

  NC

  Medicare reassignment Care Compare group
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313

  WA

  Medicare reassignment NPD
• Tra Medical Imaging Centers LLC

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1447041751

  NC

  Medicare reassignment NPD
• Union Avenue Open MRI LLC

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1568531242

  NC, WA

  Medicare reassignment NPD
• University Radiology Group, LLC

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
  • NPI 1154367803

  Diagnostic Radiology, WA

  Medicare reassignment NPD
• Coastal Carolina Health Care PA

  • Internal Medicine Physician
  • New Bern, NC
  • NPI 1750567970

  NC

  Medicare reassignment
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

  • Radiology Clinic/Center
  • Bonney Lake, WA
  • NPI 1699063354
  NPD
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD
• Proliance Surgeons, Inc., P.S.

  • Obstetrics & Gynecology Physician
  • Seattle, WA
  • NPI 1740727106
  NPD
• Coastal Carolina Health Care PA

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1447290010

  Diagnostic Radiology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carolinaeast Medical Center

  • General Acute Care Hospital
  • New Bern, NC
  • NPI 1801852835

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

Uniformed Services Uhs Fe Hebert School of Med, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greensboro Radiology PA 236 clinicians

Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance 117 clinicians

Tra-Minw P S 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Medicare fee-for-service enrollment

Enrolled in WA, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ei-trami
• Direct secure messaging: grant.tibbetts.p42@direct.proliance.nextgenshare.com

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1356326656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984011535",
            "telephone_number": "253-761-4200",
            "fax_number": "253-383-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021900",
            "telephone_number": "253-761-4200",
            "fax_number": "253-761-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBETTS",
        "first_name": "GRANT",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD175166",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60456798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-DIAGNOSTIC IMAGING NW",
            "identifier": "0394949",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I- TRA KING COUNTY",
            "identifier": "0335194",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-UNION AVE OPEN MRI",
            "identifier": "0335196",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-TRA PIERCE COUNTY",
            "identifier": "0335106",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500698491",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036409",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Jean Thurman, PT
• Hunter J Thurn, DO
• Marci Dawn Thyren, LCSW
• Harmony Ana Tialavea
• Frances Tian, MD
• Lisa Marie Tibor, M.D.
• Fatima Tica
• Jeffery Allen Tichenor, PHARM.D.
• Tidal Balanced Wellness Center
• Dillon Patrick Tierney

• All providers in Tacoma, WA
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.

Verify at the official NPI Registry.