Individual provider Active NPI

Tyler Kreager, M.D.

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1790216109
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60981713 Issued in WA
Practice address
925 Seneca St
Seattle, WA 98101-2742
Phone
(206) 583-6079
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60981713 WA Primary

Addresses

Primary practice location

925 Seneca St
Seattle, WA 98101-2742

Mailing address

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 583-6079

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
I20230705000890 WA Practitioner - Diagnostic Radiology 0345518379 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio Medical University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

Brier, WA 98036
Phone (425) 563-1500

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

18504 Wallingford Ave N
Shoreline, WA 98133-4227
Phone (425) 563-1500

3607 216TH Dr SW
Brier, WA 98036-8096
Phone (425) 563-1500

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60981713WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Swedish Health Services CurrentSince Mar 13, 2024 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Optum Care Washington PLLC Current Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Swedish Health Services CurrentSince Mar 13, 2024 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 21, 2023 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Central Washington Health Services Association CurrentSince Jul 1, 2023 Accepting new patients
Swedish Health Services CurrentSince Jun 1, 2024 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 21, 2023 Accepting new patients

Locations

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 386-6266

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

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

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

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

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

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

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

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

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

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

515 Minor Ave
Ste 110
Seattle, WA 98104
Phone (206) 292-6233

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

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

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1790216109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SENECA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012742",
            "telephone_number": "206-583-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SENECA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012742",
            "telephone_number": "206-583-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREAGER",
        "first_name": "TYLER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60981713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.