Individual provider Active NPI

Andrew Dennis Mosier, D.O.

  • Diagnostic Radiology Physician
  • Tacoma, WA
National Provider Identifier
1366612301
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
650 Issued in NE
Practice address
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone
(253) 968-2130
NPI assigned
Mar 5, 2008
Last updated
Apr 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 650 NE Primary

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Mailing address

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OH, AZ, PA, IL, GA, NH, TX, TN, CA, NV, KS12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20170517003136 WA Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 7 organizations
I20221228002718 OH Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 3 organizations
I20230328002181 AZ Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 2 organizations
I20230330001135 PA Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 3 organizations
I20230426002153 IL Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 1 organization
I20230510001446 GA Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 5 organizations
I20230511000906 NH Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 1 organization
I20230511001808 TX Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 6 organizations
I20230530003133 TN Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 2 organizations
I20241219003389 CA Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 3 organizations
I20241227002259 NV Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 2 organizations
I20250804000141 KS Practitioner - Diagnostic Radiology 3779850953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Mobile Ultrasound LLCGroup PAC ID 4183761893, 16 clinicians
Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Kan-Di-Ki LLCGroup PAC ID 5991737140, 38 clinicians

Practice addresses (Care Compare)

1001 Virginia Ave
Suite 302
Hapeville, GA 30354-1367
Phone (800) 786-8015

10580 Barkley St
Suite 415
Overland Park, KS 66212-1850
Phone 800786801576145

10948 Bigge St
Suite a
San Leandro, CA 94577-1121
Phone (800) 786-8015

1134 Industry Dr
Tukwila, WA 98188-4803
Phone (206) 466-1478

115 Gibraltar Rd
Horsham, PA 19044-2303
Phone (800) 786-8015

15 W700 N Frontage Rd
Suite 118
Burr Ridge, IL 60527-1637
Phone (630) 521-1010

2550 Corporate Exchange Dr
Suite 15
Columbus, OH 43231-1660
Phone (800) 786-8015

3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600

3418 Midcourt Rd
Suite 105
Carrollton, TX 75006-4944
Phone (800) 786-8015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
650NEMDMental Health Counselor
16082CAMDProfessional Counselor
3864TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kan-Di-Ki LLC CurrentSince Oct 21, 2017 Accepting new patients
Kan-Di-Ki LLC CurrentSince Jan 1, 2018 Accepting new patients
Kan-Di-Ki LLC CurrentSince Nov 8, 2024 Accepting new patients
Kan-Di-Ki LLC CurrentSince Sep 1, 2018 Accepting new patients
American Diagnostics Services LLC CurrentSince Feb 1, 2019 Accepting new patients
Bucktail Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Kan-Di-Ki LLC CurrentSince Jul 1, 2022 Accepting new patients
Kan-Di-Ki, LLC CurrentSince Nov 16, 2024 Accepting new patients
Bucktail Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Kan-Di-Ki, LLC CurrentSince Dec 2, 2024 Accepting new patients
Kan-Di-Ki LLC CurrentSince Jul 1, 2022 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Mar 5, 2017 Accepting new patients
Bucktail Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Kan-Di-Ki LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

2538 E University Dr
Ste F220
Phoenix, AZ 85034
Phone (602) 281-4221

7776 S Pointe Pkwy W
Ste 150
Phoenix, AZ 85044
Phone (602) 281-4225

12612 Raymer St
North Hollywood, CA 91605
Phone (818) 549-1880

11585 E 53rd Ave
Ste H
Denver, CO 80239
Phone (303) 307-2028

930 Ridgebrook Rd
Sparks Glencoe, MD 21152
Phone (264) 532-5146

930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101

230 Goodman Rd E
Ste 203
Southaven, MS 38671
Phone (662) 536-6020

101 Rock Rd
Horsham, PA 19044
Phone (215) 442-0660

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

1134 Industry Dr
Tukwila, WA 98188
Phone (206) 466-1478

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 1

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1366612301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSIER",
        "first_name": "ANDREW",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.