Jeffrey Radakovich, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00036670 Issued in WA

Practice address

NE 1125 Washington St
Washington State University
Pullman, WA 99164-0001

Phone

(509) 335-3575

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jradakovich19717@direct.fcn.net

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.

• Family Care Network PLLC

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1427001015
  Medicare reassignment NPD
• Family Care Network PLLC

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1558952150
  NPD
• Family Care Network PLLC

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1851325930
  NPD

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477526580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642302",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991642302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NE 1125 WASHINGTON ST",
            "address_2": "WASHINGTON STATE UNIVERSITY",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991640001",
            "telephone_number": "509-335-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAKOVICH",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00036670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8233975",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pullman Urgent Care PLLC
• Pullman Vision Source
• Rahul Purbey, M.B.B.S
• Khalid Qayoum, PHARMD
• Sophia Simone Raasch, RD
• Deborah Ann Ralston, M.S.
• Matthew Ramsey, MSW
• James Paul Rankin
• Treyon A Reche
• Laura Elizabeth Rehwaldt, LMHC

• Family Medicine Physician in Pullman, WA
• Providers in Pullman, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.