Individual provider Active NPI

Paul G Craig, MD

  • Diagnostic Radiology Physician
  • Spokane, WA
National Provider Identifier
1699193326
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61005677 Issued in WA
Practice address
400 E 5TH Ave
Spokane, WA 99202-1334
Phone
(509) 838-2531
NPI assigned
Mar 31, 2014
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0061966 CO
Diagnostic Radiology Physician 2085R0202X M-15222 ID
Diagnostic Radiology Physician 2085R0202X MD61005677 WA Primary

Addresses

Primary practice location

400 E 5TH Ave
Spokane, WA 99202-1334

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

Other identifiers 9

IdentifierTypeStateIssuer
0425859OtherWAL&I-RADIA REST OF WA
0425862OtherWAL&I-RADIA KING CTY
0425869OtherWAL&I-SEATTLE RADIOLOGY
1699193326MedicaidID
0425865OtherWAL&I-SOUTH SOUND RADIOLOGY
0425871OtherWAL&I-VANCOUVER RADIOLOGY
0425864OtherWAL&I-EVERGREEN RADIA
2159180MedicaidWA
0425863OtherWAL&I-SWEDISH RADIA EDMONDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200619002151 WA Practitioner - Diagnostic Radiology 7810292943 Reassigns benefits to 13 organizations
I20221213002768 AK Practitioner - Diagnostic Radiology 7810292943 Reassigns benefits to 7 organizations
I20260212002160 LA Practitioner - Diagnostic Radiology 7810292943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wright State University Boonshoft School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Radiology PCGroup PAC ID 6406826031, 31 clinicians
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

101 N Main St
Coupeville, WA 98239-3413

14 A Inlet Cir
Bellingham, WA 98229-7915
Phone (812) 426-9394

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0061966COMDDiagnostic Radiology Physician
MD61005677WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging of Lafayette LLC CurrentSince Jan 1, 2026 Accepting new patients
North Star Medical Imaging PLLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Feb 13, 2023 Accepting new patients
Ascension Open MRI, LLC. CurrentSince Jan 1, 2026 Accepting new patients
Alliance Healthcare Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jul 1, 2020 Accepting new patients
Mary Bird Perkins Cancer Center Diagnostic Radiology CurrentSince Jan 14, 2026 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Jan 17, 2023 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Feb 13, 2023 Accepting new patients
Iliuliuk Family and Health Services Inc CurrentSince Aug 6, 2023 Accepting new patients
Louisiana Pet/CT Imaging of Lake Charles. LLC CurrentSince Jan 1, 2026 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jan 17, 2023 Accepting new patients
Ark-la-Tex Diagnostics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Fairbanks Medical Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Northeast Imaging Center CurrentSince Jan 1, 2026 Accepting new patients
River Bend Imaging LLC CurrentSince Jan 1, 2026 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jul 1, 2020 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
Whidbey Island Public Hospital District Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jun 28, 2024 Accepting new patients
Bellingham Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
M. R. Imaging Systems, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Sep 3, 2020 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Jan 17, 2023 Accepting new patients
Evansville Radiology PC Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
Central Imaging Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
Skagit Radiology Inc P S Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Bluebonnet Imaging Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Okanogan County Public Hospital Dist No 4 Past Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients

Locations (25 of 28)

2310 Peger Rd
Ste 102
Fairbanks, AK 99709

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

350 W Columbia St
Ste 420
Evansville, IN 47710
Phone (812) 450-7720

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

8301 161st Ave NE
Ste 104
Redmond, WA 98052
Phone (425) 895-4810

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

Interoperability endpoints

  • Direct secure messaging: pcraig42509@skagit.direct-ci.com

Organizations & group practices 40

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 40

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1699193326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021334",
            "telephone_number": "509-838-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1593 E Polston Ave",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545326",
            "country_code": "US",
            "telephone_number": "208-262-2300",
            "fax_number": "208-262-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0061966",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-15222",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61005677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-RADIA REST OF WA",
            "identifier": "0425859",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-RADIA KING CTY",
            "identifier": "0425862",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-SEATTLE RADIOLOGY",
            "identifier": "0425869",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699193326",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-SOUTH SOUND RADIOLOGY",
            "identifier": "0425865",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-VANCOUVER RADIOLOGY",
            "identifier": "0425871",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-EVERGREEN RADIA",
            "identifier": "0425864",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159180",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-SWEDISH RADIA EDMONDS",
            "identifier": "0425863",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.