Active NPI
Kevin Eugene Sanders, MD
- Radiation Oncology Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD00046461
- Practice address
- 2940 S Meridian Ste 100
Puyallup, WA 98373-1659 - Phone
- (253) 200-3166
- Fax
- (253) 200-3167
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD00046461 | WA | Primary |
Addresses
Primary practice location
2940 S Meridian Ste 100
Puyallup, WA 98373-1659
Mailing address
2920 S Meridian Ste 200
Puyallup, WA 98373-1428
Phone (532) 200-3166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9180009 | Medicaid | WA |
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
- Radiation Oncology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 S Meridian
Suite 100
Puyallup, WA 98373-1659
Phone (253) 200-3166
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
- St Joseph Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Cancer Care PLLC | Radiation Oncology | Current | Accepting new patients |
| Sound Cancer Care PLLC | Current | Accepting new patients | |
| Riverside Oncology PC | Radiation Oncology | Current | Accepting new patients |
| Universal Treatment Center, Inc | Past | Accepting new patients |
Locations
2940 S Meridian
Puyallup, WA 98373
Phone (253) 200-3166
2920 S Meridian
Ste 200
Puyallup, WA 98373
Phone (253) 200-3166
2940 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 200-3166
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.
-
- Radiation Oncology Physician
- Puyallup, WA
- NPI 1487168324
-
- Non-Pharmacy Dispensing Site
- Puyallup, WA
- NPI 1386486199
-
- Radiation Oncology Physician
- Riverside, CA
- NPI 1285519256
-
- Radiation Oncology Clinic/Center
- Auburn, WA
- NPI 1932325313
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- 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": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1376554154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 S MERIDIAN STE 200",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731428",
"telephone_number": "532-200-3166",
"fax_number": "253-200-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 S MERIDIAN STE 100",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731659",
"telephone_number": "253-200-3166",
"fax_number": "253-200-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KEVIN",
"middle_name": "EUGENE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD00046461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9180009",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.