Active NPI
Shree Krishna Subedi, MD
- Diagnostic Radiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60993530
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0414631 | Other | WA | L&I-UAOM |
| 0414629 | Other | WA | L&I-TRA PIERCE |
| 2141551 | Medicaid | WA | |
| 0414630 | Other | WA | L&I-TRA KING |
| 0414632 | Other | WA | L&I-DINW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN, WA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health SystemGrand Itasca Clinic and HospitalSt. Joseph'S Hospital and Health Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD60993530 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Tra Medical Imaging Centers LLC | Current | 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
- 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.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1396814166
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1447041751
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1568531242
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- General Practice Physician
- River Falls, WI
- NPI 1407395247
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
Hospital & facility affiliations 9
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
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.