NPIMap

Individual provider Active NPI

Sasha Stokes Cavanagh, MD

  • Dermatology Physician
  • Olympia, WA
National Provider Identifier
1700886017
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00044724 Issued in WA
Practice address
3703 Ensign Rd NE # 10-B
Olympia, WA 98506-5038
Phone
(360) 455-5091
Fax
(360) 438-3057
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD00044724 WA Primary

Addresses

Primary practice location

3703 Ensign Rd NE # 10-B
Olympia, WA 98506-5038

Mailing address

3703 Ensign Rd NE # 10-B
Olympia, WA 98506-5038
Phone (360) 455-5091

Other identifiers 1

IdentifierTypeStateIssuer
8422883MedicaidWA

Other names 1

  • Sasha Cavanagh Kramer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000567 WA Practitioner - Dermatology 3870534589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hahnemann University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sasha Cavanagh MD PCGroup PAC ID 7012065360, 2 clinicians

Practice addresses (Care Compare)

3703 Ensign Rd NE
Suite 10B
Olympia, WA 98506-5038
Phone (360) 455-5091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.46 of 100Reported as individual
Quality
96.92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision71
Removal of skin lesions1568
Removal of nail tissue1-10
Removal or shaving of skin growth15
Skin biopsy246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00044724WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 27, 2016 Accepting new patients
Sasha Cavanagh MD PC Dermatology CurrentSince May 1, 2009 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 27, 2016 Accepting new patients

Locations

700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000

3703 Ensign Rd NE
Ste 10B
Olympia, WA 98506
Phone (360) 455-5091

3703 Ensign Rd NE
#10B
Olympia, WA 98506
Phone (360) 455-5091

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBCEBA

Organizations & group practices 4

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 5

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1700886017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 ENSIGN RD NE # 10-B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065038",
            "telephone_number": "360-455-5091",
            "fax_number": "360-438-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 ENSIGN RD NE # 10-B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065038",
            "telephone_number": "360-455-5091",
            "fax_number": "360-438-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAGH",
        "first_name": "SASHA",
        "middle_name": "STOKES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00044724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8422883",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "KRAMER",
            "middle_name": "CAVANAGH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.