NPIMap

Organization Active NPI

Radiology Consultants of Washington, Inc., P.S.

  • Diagnostic Radiology Physician
  • Everett, WA
National Provider Identifier
1497914790
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY CONSULTANTS OF WASHINGTON, INC., P.S.
Practice address
3131 Nassau St
Suite 102
Everett, WA 98201-4137
Phone
(425) 740-5000
Fax
(425) 740-5010
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Dr. Calixto T. Dimas, M.D.NPI 1043302136
Title
Vice President
Phone
(425) 821-3472

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X WA Primary

Addresses

Primary practice location

3131 Nassau St
Suite 102
Everett, WA 98201-4137

Mailing address

PO Box 94624
Seattle, WA 98124-6924
Phone (952) 542-8553

Other identifiers 1

IdentifierTypeStateIssuer
7044795MedicaidWA

Other names 1

  • RAYUS Radiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000774 WA Part B Supplier - Clinic/Group Practice 6608763859 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
Practice locations: Issaquah, WA; Seattle, WA; Renton, WA; Kirkland, WA; Everett, WA; Bellevue, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2003101Rayus Radiology3131 Nassau St Ste 102, Everett, WA 98201Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Radiology Consultants of Washington Inc PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1301 4th Ave NW
Ste 202
Issaquah, WA 98027
Phone (425) 600-1054

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1497914790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94624",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246924",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 NASSAU ST",
            "address_2": "SUITE 102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014137",
            "telephone_number": "425-740-5000",
            "fax_number": "425-740-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY CONSULTANTS OF WASHINGTON, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "DIMAS",
        "authorized_official_first_name": "CALIXTO",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "425-821-3472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7044795",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYUS Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.