Active NPI
Randi Wayne Hart, MD
- Diagnostic Radiology Physician
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60097539
- Practice address
- 19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748 - Phone
- (425) 563-1500
- Fax
- (425) 563-1501
- NPI assigned
- Sep 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | M-12202 | ID | |
| Diagnostic Radiology Physician | 2085R0202X | MD60097539 | WA | Primary |
Addresses
Primary practice location
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0377781 | Other | WA | L&I-RADIA KING COUNTY |
| 0377786 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
| 0377789 | Other | WA | L&I-EVERGREEN RADIA |
| 1497741870 | Medicaid | ID | |
| 8552739 | Medicaid | WA | |
| 0252750 | Other | WA | L&I-RADIA REST OF WA |
| 7207960 | Medicaid | SD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 E 5TH Ave
Spokane, WA 99202-1334
311 S L St
Tacoma, WA 98405-3720
400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
605 E Holland Ave
Spokane, WA 99218-1246
Hospital & facility affiliations
- Capital Medical Center
- Deaconess Medical Center
- Multicare Valley Hospital
- Tacoma General Allenmore Hospital
- Providence St Peter Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.51 of 100
- Quality
- 59.1
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-12202 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Inland Imaging Associates PS | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Inland Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
2713 N Argonne Rd
Spokane Vly, WA 99212
Phone (509) 342-3980
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1982236469
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1851352348
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1205189461
-
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1154818326
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Internal Medicine Physician
- Spokane, WA
- NPI 1730687161
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1497741870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "RANDI",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-12202",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60097539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-RADIA KING COUNTY",
"identifier": "0377781",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-SWEDISH RADIA EDMONDS",
"identifier": "0377786",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-EVERGREEN RADIA",
"identifier": "0377789",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497741870",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8552739",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-RADIA REST OF WA",
"identifier": "0252750",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7207960",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.