Individual provider Active NPI

Queen Adaeze Wahiwe, MD

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1508183104
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60403550 Issued in WA
Practice address
5006 Center St Ste R
Tacoma, WA 98409-2314
Phone
(888) 405-6396
Fax
(415) 252-7176
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60403550 WA Primary
Family Medicine Physician 207Q00000X 164997 NC

Addresses

Primary practice location

5006 Center St Ste R
Tacoma, WA 98409-2314

Mailing address

5006 Center St Ste R
Tacoma, WA 98409-2314

Other identifiers 1

IdentifierTypeStateIssuer
2029974MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131209000332 WA Practitioner - Family Practice 3779710298 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians
Iora Health Washington Physicians PCGroup PAC ID 1355614421, 36 clinicians

Practice addresses (Care Compare)

1400 N Laventure Rd
Mount Vernon, WA 98273-2766
Phone (360) 428-4075

5006 Ctr St
Suite R
Tacoma, WA 98409-2314
Phone (253) 275-0200

7424 Bridgeport Way W
Lakewood, WA 98499-8120
Phone (253) 581-2111

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164997NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Medicine Current Accepting new patients
Healthpoint CurrentSince Sep 28, 2013 Accepting new patients
Sea Mar Community Health Centers CurrentSince Sep 26, 2022 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Mar 9, 2026 Accepting new patients
Healthpoint CurrentSince Sep 28, 2013 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Mar 9, 2026 Accepting new patients
Sea-Mar Community Health Center Family Medicine Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

225 176th St S
Spanaway, WA 98387
Phone (253) 240-2130

5006 Center St
Ste R
Tacoma, WA 98409
Phone (253) 275-0200

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1508183104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST STE R",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092314",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST STE R",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092314",
            "telephone_number": "888-405-6396",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHIWE",
        "first_name": "QUEEN",
        "middle_name": "ADAEZE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60403550",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "164997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029974",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.