Organization Active NPI

Rainier Nephrology PLLC

  • Nephrology Physician
  • Puyallup, WA
National Provider Identifier
1427249010
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
602724377 Issued in WA
Legal business name
RAINIER NEPHROLOGY PLLC
Practice address
201 15TH Ave SW
Ste a
Puyallup, WA 98371-7495
Phone
(253) 845-0420
Fax
(253) 845-0426
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Zhuowei Wang, M.D.NPI 1942240056
Title
Medical Officer
Phone
(253) 845-0420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 602724377 WA Primary

Addresses

Primary practice location

201 15TH Ave SW
Ste a
Puyallup, WA 98371-7495

Mailing address

201 15TH Ave SW Ste a
Puyallup, WA 98371-7495
Phone (253) 845-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070810000078 WA Part B Supplier - Clinic/Group Practice 6800987421 Receives reassigned benefits from 1 practitioner
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1427249010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 15TH AVE SW STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717495",
            "telephone_number": "253-845-0420",
            "fax_number": "253-845-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 15TH AVE SW",
            "address_2": "STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717495",
            "telephone_number": "253-845-0420",
            "fax_number": "253-845-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ZHUOWEI",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-845-0420",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "602724377",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 24, 2025; 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.