Organization Active NPI

Tra-Minw P S

  • Radiology Clinic/Center
  • Tacoma, WA
National Provider Identifier
1396814166
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TRA-MINW P S
Practice address
2502 S Union Ave
Tacoma, WA 98405-1328
Phone
(253) 761-4200
Fax
(253) 761-4201
NPI assigned
Nov 7, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Victoria Epshteyn
Title
Director of Finance
Phone
(253) 761-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

2502 S Union Ave
Tacoma, WA 98405-1328

Mailing address

PO Box 3656
Seattle, WA 98124-3656
Phone (866) 231-9211

Other identifiers 4

IdentifierTypeStateIssuer
CR0042OtherWARR MEDICARE
7820707MedicaidWA
40700OtherWALABOR AND INDUSTRIES/DSHS
P03231OtherWAREGENCE BLUE SHIELD

Other names 1

  • Tacoma Radiological Associates PS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, CA, MO, AK, NY, DC, NC, NJ, GA, AZ, AL, FL, CT, TX, MI, NV, CO, UT, MT, TN, PA, IA, OK, WI, SC, MA, HI, MN29 enrollments

Enrollment records 29

Enrollment IDStateProvider typePAC IDDetails
O20040211000326 WA Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 147 practitioners
1 other NPI on this enrollment
O20130506000178 OR Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
Practice locations: Portland, OR; Pendleton, OR; Manzanita, OR; Lake Oswego, OR; Corvallis, OR; Bend, OR
O20220816001250 CA Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 9 practitioners
Practice locations: Sunnyvale, CA; Santa Barbara, CA; San Diego, CA; Newbury Park, CA; Mountain View, CA; Los Gatos, CA; La Jolla, CA; Fort Irwin, CA…
O20220816003734 MO Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Louis, MO; Saint Robert, MO; Waynesville, MO
O20220916000266 AK Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 3 practitioners
Practice locations: Eagle River, AK; Fort Wainwright, AK; North Pole, AK
O20220921002076 NY Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 14 practitioners
Practice locations: Fayetteville, NY; New York, NY; Melville, NY; Manlius, NY; Liverpool, NY; Jamesville, NY; Cornwall, NY; Camillus, NY
O20221003000663 DC Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 4 practitioners
Practice locations: Gaithersburg, MD; Herndon, VA; MC Lean, VA; Potomac, MD
O20221103001888 NC Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 8 practitioners
Practice locations: Whispering Pines, NC; New Bern, NC; Fayetteville, NC; Charlotte, NC; Boone, NC; Asheville, NC
O20221108003706 NJ Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 4 practitioners
Practice locations: Hoboken, NJ; Jersey City, NJ; Lawrence Township, NJ; Wayne, NJ
O20221208000505 GA Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 4 practitioners
Practice locations: Atlanta, GA; Decatur, GA; Duluth, GA; Evans, GA
O20230119001361 AZ Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 3 practitioners
Practice locations: Glendale, AZ; Peoria, AZ; Phoenix, AZ
O20230120002453 AL Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 2 practitioners
Practice locations: Vestavia, AL
O20230128000346 FL Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 4 practitioners
Practice locations: Gulf Breeze, FL; Naples, FL; Port Orange, FL
O20230207001563 CT Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Darien, CT
O20230623001348 TX Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 7 practitioners
Practice locations: Austin, TX; Houston, TX; Plano, TX; Prosper, TX; San Antonio, TX; Temple, TX
O20231002002797 MI Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI
O20231004003434 NV Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV
O20231005002892 CO Part B Supplier - Clinic/Group Practice 2163316167 Practice locations: Colorado Springs, CO
O20231026003893 UT Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 2 practitioners
Practice locations: Eden, UT; Holladay, UT; Huntsville, UT
O20231030001403 MT Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Whitefish, MT
O20231115002188 TN Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN
O20240605001312 PA Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 4 practitioners
Practice locations: Chesterbrook, PA; Gladwyne, PA; Harrisburg, PA; Media, PA
O20240805001727 IA Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Pella, IA
O20250402000792 OK Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 4 practitioners
Practice locations: Broken Arrow, OK; Oklahoma City, OK; Ramona, OK; Tulsa, OK
O20251003000587 WI Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI
O20251027004694 SC Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Anderson, SC
O20260214000006 MA Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Dartmouth, MA
O20260223000969 HI Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 2 practitioners
Practice locations: Kihei, HI
O20260304003905 MN Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 1 practitioner
Practice locations: Chaska, MN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 29)

5301 W Genesee St
Ste 250
Camillus, NY 13031
Phone (315) 344-9729

122 3rd St NE
Ste 101A
Auburn, WA 98002

9550 195th Ave E
Bonney Lake, WA 98391
Phone (253) 447-3400

27111 167th Pl SE
Ste 101
Covington, WA 98042

30809 1st Ave S
Ste 2601
Federal Way, WA 98003

34503 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8280

6140 E Lake Sammamish Pkwy SE
Ste F
Issaquah, WA 98029

12475 Totem LK Blvd NE
Kirkland, WA 98034

12475 Totem LK Blvd NE
Kirkland, WA 98034

911 Frontier Cir E
Lake Stevens, WA 98258

3822 116th St NE
Marysville, WA 98271

9725 SE 36th St
Ste 114
Mercer Island, WA 98040

9725 SE 36th St
Ste 115
Mercer Island, WA 98040

20730 Bond Rd NE
Ste 140
Poulsbo, WA 98370

1450 5th St SE
Ste 4200
Puyallup, WA 98372
Phone (253) 459-7000

15214 Canyon Rd E
Puyallup, WA 98375
Phone (253) 539-4200

2920 S Meridian
Ste 200
Puyallup, WA 98373
Phone (253) 200-3166

3820 Rainier Ave S
Seattle, WA 98118
Phone (206) 722-7100

3820 Rainier Ave S
Ste C
Seattle, WA 98118

3820 Rainier Ave S
Ste Coc
Seattle, WA 98118

1202 Martin Luther King Jr Way
#140
Tacoma, WA 98405

1304 Fawcett Ave
Tacoma, WA 98402
Phone (253) 680-3629

1812 S Mildred St
Ste H
Tacoma, WA 98465
Phone (253) 301-5270

2209 E 32nd St
Tacoma, WA 98404
Phone (206) 593-0244

316 Martin Luther King Jr Way
Ste 203
Tacoma, WA 98405
Phone (253) 403-2120

Practitioners & affiliated clinicians

Practitioners 255

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 255

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1396814166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3656",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243656",
            "telephone_number": "866-231-9211",
            "fax_number": "253-761-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051328",
            "telephone_number": "253-761-4200",
            "fax_number": "253-761-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRA-MINW P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "EPSHTEYN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "253-761-4200"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CR0042",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7820707",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES/DSHS",
            "identifier": "40700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "P03231",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Radiological Associates PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.