Individual provider Active NPI

Thomas Lee Rademacher, D.O.

  • Anesthesiology Physician
  • Spokane, WA
National Provider Identifier
1659547495
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OP 00002350 Issued in WA
Practice address
104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808
Phone
(509) 838-5361
Fax
(509) 835-4058
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OP 00002350 WA Primary

Addresses

Primary practice location

104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808

Mailing address

104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808
Phone (509) 838-5361

Other identifiers 1

IdentifierTypeStateIssuer
8510950MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250224001363 CO Practitioner - Anesthesiology 1355411992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Anesthesia Consultants PLLCGroup PAC ID 9436229895, 11 clinicians

Practice addresses (Care Compare)

2754 Compass Dr
Suite 170
Grand Junction, CO 81506-8739
Phone (970) 254-1686

Hospital & facility affiliations

  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP 00002350WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Anesthesia Consultants PLLC Anesthesiology CurrentSince Dec 21, 2024 Accepting new patients
Lower Valley Hospital Association CurrentSince May 1, 2025 Accepting new patients
Lower Valley Hospital Association Anesthesiology CurrentSince May 1, 2025 Accepting new patients

Locations

300 W Ottley Ave
#W
Fruita, CO 81521

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920

2754 Compass Dr
Ste 170
Grand Junction, CO 81506

Organizations & group practices 3

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1659547495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE STE 230E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044808",
            "telephone_number": "509-838-5361",
            "fax_number": "509-835-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE STE 230E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044808",
            "telephone_number": "509-838-5361",
            "fax_number": "509-835-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEMACHER",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "OP 00002350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8510950",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.