NPIMap

Individual provider Active NPI

Anthony David Radosevich, MD

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1548799422
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61410862 Issued in WA
Practice address
1959 NE Pacific St Box 356410
Seattle, WA 98195-0001
Phone
(206) 543-3680
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X WA
Diagnostic Radiology Physician 2085R0202X MD61410862 WA Primary

Addresses

Primary practice location

1959 NE Pacific St Box 356410
Seattle, WA 98195-0001

Mailing address

1959 NE Pacific St Box 356410
Seattle, WA 98195-0001
Phone (206) 543-3680

Other practice location 1

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230606000740 OR Practitioner - Diagnostic Radiology 0840657961 Reassigns benefits to 2 organizations
I20240208001692 WA Practitioner - Diagnostic Radiology 0840657961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Public Hospital District No. 2, Klickitat County, WashingtonGroup PAC ID 4981592144, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7800

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

Hospital & facility affiliations

  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
97.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
71.23
Promoting interoperability
88
Improvement activities
40
Cost
81.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61410862WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Jul 1, 2023 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington CurrentSince Jul 1, 2025 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jul 11, 2024 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jul 11, 2024 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Jul 1, 2023 Accepting new patients

Locations

2725 SW Cedar Hills Blvd
Ste 225
Beaverton, OR 97005

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

475 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-8040

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/

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.

Hospital & facility affiliations 10

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1548799422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 356410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 356410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 NE Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "White Salmon",
            "state": "WA",
            "postal_code": "986721948",
            "country_code": "US",
            "telephone_number": "509-493-1101",
            "fax_number": "509-493-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADOSEVICH",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61410862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.