Active NPI
Nathan Bittner, MD
- Radiation Oncology Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ML20007539
- Practice address
- 400 15TH Ave SE Ste a
Puyallup, WA 98372-3750 - Phone
- (253) 841-4311
- Fax
- (253) 627-8792
- NPI assigned
- Aug 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ML20007539 | WA | Primary |
Addresses
Primary practice location
400 15TH Ave SE Ste a
Puyallup, WA 98372-3750
Mailing address
4230 Bridgeport Way W Ste B
University Place, WA 98466-4335
Phone (253) 779-6325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60006974 | Other | WA | MD LICENSE |
| 11839467 | Other | CAQH | |
| 7058480 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tacomaradiation@directaddress.net | Direct |
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
- Radiation Oncology
- Education
- University of Washington School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11511 Canterwood Blvd
Suite 50
Gig Harbor, WA 98332-5816
Phone (253) 851-5155
400 15TH Ave SE
Suite a
Puyallup, WA 98372-3750
Phone (253) 841-4311
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML20007539 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Rad Onc Ctr LLC | Radiation Oncology | Current | Accepting new patients |
Locations
11511 Canterwood Blvd
Ste 50
Gig Harbor, WA 98332
Phone (253) 530-2939
1900 NW Myhre Rd
Silverdale, WA 98383
Phone (564) 240-3100
314 Martin Luther King Jr Way
Ste 11
Tacoma, WA 98405
Phone (253) 627-6172
4230 Bridgeport Way W
Ste B
University Place, WA 98466
Phone (253) 272-1077
Interoperability endpoints
- tacomaradiation@directaddress.net
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Tacoma, WA
- NPI 1255449146
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1609989714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 BRIDGEPORT WAY W STE B",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664335",
"telephone_number": "253-779-6325",
"fax_number": "253-627-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 15TH AVE SE STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723750",
"telephone_number": "253-841-4311",
"fax_number": "253-627-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITTNER",
"first_name": "NATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "ML20007539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "MD60006974",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11839467",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7058480",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tacomaradiation@directaddress.net",
"affiliation": "N",
"endpointDescription": "CCDA",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "400 15th Ave SE Ste A",
"city": "Puyallup",
"state": "WA",
"country_code": "US",
"postal_code": "983723750",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.