Tala Radejko, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.MD.61688922 Issued in WA

Practice address

4201 Rucker Ave
Everett, WA 98203-2215

Phone

(425) 789-3789

NPI assigned

Jul 9, 2021

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Geisel School of Medicine at Dartmouth, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Center of Snohomish CountyGroup PAC ID 0446152003, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1730136367

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1023830346
  NPD
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1821669946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032215",
            "telephone_number": "425-789-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032215",
            "telephone_number": "425-789-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEJKO",
        "first_name": "TALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD.MD.61688922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoon Jung Ra, ACAG-NP/APRN
• Mauricio Vieira Rabelo de Freitas
• Edward Tumampil Rabino
• Nadia Sophia Rachel, MA, R-DMT
• Roberta Lynn Racine, MSW, LICSWA
• Emily Christine Rader, ARNP
• Willow I Radford, LMP
• Radiology Consultants of Washington, Inc., P.S. (RAYUS Radiology)
• Ethan William Harry Radtke
• Laura Radtke

• Family Medicine Physician in Everett, WA
• Providers in Everett, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.