Individual provider Active NPI

Atif M Mian, MD

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1700819307
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00035804 Issued in WA
Practice address
2302 S Union Ave Ste C30
Tacoma, WA 98405-1334
Phone
(253) 651-2498
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00035804 WA Primary
Hospitalist Physician 208M00000X MD35804 WA

Addresses

Primary practice location

2302 S Union Ave Ste C30
Tacoma, WA 98405-1334

Mailing address

PO Box 65695
Tacoma, WA 98464-1695
Phone (253) 651-2498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040414000146 WA Practitioner - Internal MedicinePractitioner - Addiction Medicine 7214921022 Reassigns benefits to 2 organizations
I20081021000553 TX Practitioner - Internal MedicinePractitioner - Addiction Medicine 7214921022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VM Provision Care LLCGroup PAC ID 7911339130, 4 clinicians
Texas Wound Care Specialists LLCGroup PAC ID 4183097983, 7 clinicians

Practice addresses (Care Compare)

1614 S Mildred St
Suite B
Tacoma, WA 98465-1626
Phone (253) 287-0909

6300 W Parker Rd
Medical Office Building 2 Suite 128
Plano, TX 75093-8100
Phone (253) 223-9333

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Silverdale, WA, CCN 507106
  • Signature Healthcare at Home Home health agency, Federal Way, WA, CCN 507110
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Harris Methodist Hospital Stephenvill Hospital, Stephenville, TX, CCN 450351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD35804WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VM Provision Care LLC CurrentSince Oct 1, 2019 Accepting new patients
Sound Integrated Health LLC Current Accepting new patients
Texas Wound Care Specialists LLC CurrentSince Jan 1, 2023 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine Past Accepting new patients
PO SNF Operations LLC Past Accepting new patients
Munoz Regimbal and Associates Physicians Professional LLC Past Accepting new patients
Franciscan Medical Group Internal Medicine Past Accepting new patients

Locations

6300 W Parker Rd
Ste 128
Plano, TX 75093
Phone (214) 550-2099

6300 W Parker Rd
Ofc
Plano, TX 75093
Phone (253) 223-9333

1614 S Mildred St
Ste A
Tacoma, WA 98465
Phone (253) 507-9452

3640 S Cedar St
Ste M
Tacoma, WA 98409
Phone (253) 426-8666

3640 S Cedar St
Ste O
Tacoma, WA 98409
Phone (253) 651-2498

Interoperability endpoints

  • Direct secure messaging: amian2434933@direct.texashealth.org

Organizations & group practices 8

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 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1700819307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65695",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984641695",
            "telephone_number": "253-651-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE C30",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051334",
            "telephone_number": "253-651-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAN",
        "first_name": "ATIF",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00035804",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD35804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.