Ata Alijani, MD
Individual provider Active NPI Diagnostic Radiology Physician · Tacoma, WA
NPI 1740470855 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1740470855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD60507050 (WA)
- Practice address
- 1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900 - Phone
- (253) 761-4200
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tra-Minw P S
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Union Avenue Open MRI LLC
Practice addresses (Care Compare)
1280 S Kihei Rd
Apt 302
Kihei, HI 96753-5296
Phone (253) 761-4200
1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 841-4353
1717 S J St
Tacoma, WA 98405-4933
222 15TH Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353
2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 841-4353
2801 St Anthony Way
Pendleton, OR 97801-3800
Phone (253) 841-4353
853 Birch Hill St
Newbury Park, CA 91320-4063
Phone (253) 761-4200
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
- St Joseph Medical Center
- St Anthony Hospital
- St Francis Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in CA, WA, OR, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080529000909 | CA | Practitioner - Diagnostic Radiology | 5799855961 | Reassigns benefits to 4 organizations |
| I20150223000594 | WA | Practitioner - Diagnostic Radiology | 5799855961 | Reassigns benefits to 4 organizations |
| I20190225000818 | OR | Practitioner - Diagnostic Radiology |
5799855961 | Reassigns benefits to 1 organization |
| I20260319003221 | HI | Practitioner - Diagnostic Radiology | 5799855961 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD190076 | OR | MD | Neuroradiology Physician |
| A100708 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tra-Minw, PS | Neuroradiology | Current |
Accepting new patients |
| Union Avenue Open MRI LLC | Current |
Accepting new patients | |
| Tra Medical Imaging Centers LLC | Current |
Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current |
Accepting new patients | |
| North Valley Advanced Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current |
Accepting new patients | |
| Tra-Minw P S | Current |
Accepting new patients | |
| Chico MRI Partners | Diagnostic Radiology | Past | Accepting new patients |
Locations
1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500
1638 The Esplanade
Chico, CA 95926
Phone (530) 332-6200
1280 S Kihei Rd
Apt 302
Kihei, HI 96753
Phone (808) 875-8737
2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121
21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391
5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633
1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
222 15th Ave SE
Puyallup, WA 98372
3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399
1201 Pacific Ave
Ste 400
Tacoma, WA 98402
Phone (253) 300-8447
1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372
3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099
9601 Steilacoom Blvd SW
Tacoma, WA 98498
Phone (253) 582-8900
2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-trami
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | A100708 | CA | |
| Neuroradiology Physician | 2085N0700X | MD190076 | OR | |
| Diagnostic Radiology Physician | 2085R0202X | A100708 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | MD190076 | OR | |
| Diagnostic Radiology Physician | 2085R0202X | MD60507050 | WA | Yes |
Addresses
Primary practice location
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Mailing address
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200
Other practice location 1
2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 841-4653
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0339463 | Other | WA | LNI-DIAGNOSTIC IMAGING NW |
| 0362603 | Other | WA | LNI-TRA-MINW-KING CTY |
| 0365616 | Other | WA | LNI-UNION AVE OPEN MRI |
| 0362601 | Other | WA | LNI-TRA-MINW-REST OF WA |
| 2040820 | Medicaid | WA |
Other providers in Tacoma, WA
- Ali Afrassiabi MD PC
- Karriem Ali
- Mohamed H Ali
- Syed Zishan Ali
- Aligned Body Healing PLLC
- Mario Guzman Alinea Jr.
- All About Birth LLC
- All About U Health and Wellness Spa
- All for You Counseling and Employment
- All Good Health Group LLC
All providers in Tacoma, WA · Diagnostic Radiology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.