Individual provider Active NPI

Viktoriya Radchuk

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1396295887
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
550 17TH Ave Ste 540
Seattle, WA 98122-4470
Phone
(206) 386-3880
NPI assigned
Oct 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X WA Primary

Addresses

Primary practice location

550 17TH Ave Ste 540
Seattle, WA 98122-4470

Mailing address

3420 E 57TH Ave
Spokane, WA 99223-7030

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130003351 WA Practitioner - Physician Assistant 8729414206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Orthopaedic and Spine a Professional CorporationGroup PAC ID 3678615390, 3 clinicians

Practice addresses (Care Compare)

1123 N Evergreen Rd
Spokane Valley, WA 99216-1138
Phone (509) 435-0973

1200 W Fairview St
Colfax, WA 99111-9552
Phone (509) 435-0973

Hospital & facility affiliations

  • Multicare Valley Hospital Hospital, Spokane Valley, WA, CCN 500119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: viktoriya.radchuk.1@12441.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12441/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vradchuck651004@direct.multicare.org

Organizations & group practices 1

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 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": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1396295887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE STE 540",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224470",
            "telephone_number": "206-386-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCHUK",
        "first_name": "VIKTORIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.