Individual provider Active NPI

Shree Krishna Subedi, MD

  • Diagnostic Radiology Physician
  • Tacoma, WA
National Provider Identifier
1396999512
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60993530 Issued in WA
Practice address
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone
(253) 761-4200
Fax
(253) 761-4201
NPI assigned
Nov 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X MD195622 OR
Diagnostic Radiology Physician 2085R0202X 57914 MN
Diagnostic Radiology Physician 2085R0202X 13406 ND
Diagnostic Radiology Physician 2085R0202X R3227 TX
Diagnostic Radiology Physician 2085R0202X MD195622 OR
Diagnostic Radiology Physician 2085R0202X MD60993530 WA Primary

Addresses

Primary practice location

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900

Mailing address

PO Box 1535
Tacoma, WA 98401-1535
Phone (253) 761-4200

Other identifiers 5

IdentifierTypeStateIssuer
0414631OtherWAL&I-UAOM
0414629OtherWAL&I-TRA PIERCE
2141551MedicaidWA
0414630OtherWAL&I-TRA KING
0414632OtherWAL&I-DINW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN, WA, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20141229000016 ND Practitioner - Diagnostic Radiology 8921321969 Reassigns benefits to 3 organizations
I20150109001272 MN Practitioner - Diagnostic Radiology 8921321969 Reassigns benefits to 15 organizations
I20191027000010 WA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8921321969 Reassigns benefits to 8 organizations
I20260501003540 WI Practitioner - Diagnostic Radiology 8921321969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, shared by 2 NPIs, 328 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
St. Joseph'S Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians

Practice addresses (Care Compare)

Gig Harbor, WA 98335
Phone (651) 292-2000

1304 Fawcett Ave
Suite 100
Tacoma, WA 98402-1900
Phone (253) 841-4353

14655 Galaxie Ave
Apple Valley, MN 55124-8602

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

222 15TH Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

755 Crossroads Campus Dr NE
Buffalo, MN 55313-5074
Phone (763) 684-6300

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60993530WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Sep 16, 2019 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Sep 16, 2019 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Tra-Minw P S Past Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Past Accepting new patients

Locations

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622

500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307

222 15th Ave SE
Puyallup, WA 98372

11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

5919 100th St SW
Tacoma, WA 98499

1304 Fawcett Ave
Ste 200
Tacoma, WA 98402
Phone (253) 781-4200

3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099

2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 9

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1396999512",
    "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": "SUBEDI",
        "first_name": "SHREE",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "OR",
            "license": "MD195622",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "57914",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "13406",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R3227",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD195622",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60993530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-UAOM",
            "identifier": "0414631",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-TRA PIERCE",
            "identifier": "0414629",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141551",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-TRA KING",
            "identifier": "0414630",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-DINW",
            "identifier": "0414632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.