Druce V Menon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61267486 Issued in WA

Practice address

503 E 26TH St
Tacoma, WA 98421-1343

Phone

(253) 881-7001

Fax

(253) 881-7002

NPI assigned

Oct 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, WA, VT, TX4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Puyallup Tribal Opioid Clinic IncGroup PAC ID 4486096377, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.78 of 100Reported as group

Quality

95

Improvement activities

40

Cost

79.33

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmenon@landmarkhealth-direct.org

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.

• Puyallup Tribal Opioid Clinic, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tacoma, WA
  • NPI 1992582613

  TX

  Medicare reassignment Care Compare group
• Community Health Centers of the Rutland Region, Inc.

  • Family Medicine Physician
  • Brandon, VT
  • NPI 1073567590
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region, Inc.

  • Family Medicine Physician
  • West Pawlet, VT
  • NPI 1104870922
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region, Inc.

  • Pediatrics Physician
  • Rutland, VT
  • NPI 1780969345
  Medicare reassignment NPD
• Seattle Pain Relief PLLC

  • Family Medicine Physician
  • Federal Way, WA
  • NPI 1710240841
  Medicare reassignment
• Community Health Centers of the Rutland Region Inc

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1467681114
  Medicare reassignment
• Community Health Centers of the Rutland Region, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bomoseen, VT
  • NPI 1336193838
  Medicare reassignment
• Mary Imogene Bassett Hospital

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment
• Seattle Pain Relief PLLC

  • Ambulatory Surgical Clinic/Center
  • Federal Way, WA
  • NPI 1902447386
  NPD
• Community Health Centers of the Rutland Region Inc

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1518613215
  NPD
• Community Health Centers of the Rutland Region, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1225400237
  NPD

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1629610050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E 26TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984211343",
            "telephone_number": "253-881-7001",
            "fax_number": "253-881-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E 26TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984211343",
            "telephone_number": "253-881-7001",
            "fax_number": "253-881-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "DRUCE",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57173",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026144",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61267486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Michelle Meng, CDP
• Sheena Meng
• Yohannes Ayalew Mengistu, MD
• Stephanie Meno, RD
• Blaine Menon
• Nithya Menon, MD
• Vidya Menon, MD
• Christina G Mensah
• Jane Mepukori
• Merdad Meraban, PA-C

• Physician Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.

Verify at the official NPI Registry.