Individual provider Active NPI

Donald Andrew Loomis, MD

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1700835329
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00020081 Issued in WA
Practice address
2517 N Washington
Tacoma, WA 98406-5841
Phone
(253) 759-3586
Fax
(253) 759-5746
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00020081 WA Primary

Addresses

Primary practice location

2517 N Washington
Tacoma, WA 98406-5841

Mailing address

2517 N Washington
Tacoma, WA 98406-5841
Phone (253) 759-3586

Other identifiers 1

IdentifierTypeStateIssuer
1228204MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000718 WA Practitioner - Family Practice 6002932290 Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2517 N Washington St
Tacoma, WA 98406-5841
Phone (253) 759-3586

Hospital & facility affiliations

  • Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
  • Signature Healthcare at Home Home health agency, Federal Way, WA, CCN 507110
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions142
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00020081WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald Andrew Loomis, M.D. Family Medicine CurrentSince Jul 1, 1984 Accepting new patients
Synergy Health Current Accepting new patients
Proctor Personal MD, PLLC Current Accepting new patients

Locations

2517 N Washington St
Tacoma, WA 98406
Phone (253) 468-7584

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 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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1700835329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N WASHINGTON",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065841",
            "telephone_number": "253-759-3586",
            "fax_number": "253-759-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 N WASHINGTON",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065841",
            "telephone_number": "253-759-3586",
            "fax_number": "253-759-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "DONALD",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00020081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1228204",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.