Individual provider Active NPI

Ross Michael Ondersma, MD

  • Diagnostic Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1841403110
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60292915 Issued in WA
Practice address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01066258A IN
Diagnostic Radiology Physician 2085R0202X MD60292915 WA Primary
Nuclear Medicine Physician 207U00000X MD60292915 WA
Diagnostic Radiology Physician 2085R0202X 4301088540 MI

Addresses

Primary practice location

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7735

Other practice location 2

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other identifiers 1

IdentifierTypeStateIssuer
2022790MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rondersma140106@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20121114000090 WA Practitioner - Diagnostic Radiology 8123279486 Reassigns benefits to 22 organizations
I20250522001198 MI Practitioner - Diagnostic Radiology 8123279486 Reassigns benefits to 1 organization
I20250522001275 CA Practitioner - Diagnostic Radiology 8123279486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

Edmonds, WA 98026
Phone (501) 664-3914

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

10604 NE 170TH St
Bothell, WA 98011-6702
Phone (425) 563-1500

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

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

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 563-1500

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 491-9480

4525 3Rd Ave SE
Suite 200
Lacey, WA 98503-1010
Phone (360) 754-3934

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

700 Minor Ave
Seattle, WA 98104-2146
Phone (425) 563-1500

705 Caroline St
Port Angeles, WA 98362-3501
Phone (425) 563-1500

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

747 Broadway RM
Suite 404
Seattle, WA 98122-4379
Phone (206) 386-6000

751 NE Blakely Dr
Issaquah, WA 98029-6201

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

808 N 5TH Ave
Sequim, WA 98382-3045
Phone (360) 582-5562

840 N 5TH Ave
Suite 1000
Sequim, WA 98382-3045
Phone (360) 582-2620

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066258AINMDDiagnostic Radiology Physician
4301088540MIMDDiagnostic Radiology Physician
MD60292915WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Oct 17, 2019 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jul 21, 2013 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Oct 11, 2012 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Sep 1, 2012 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 6, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Pet-CT Imaging at Swedish Cancer Institute LLC Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Sep 1, 2012 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Nov 7, 2023 Accepting new patients
County of Santa Clara CurrentSince Apr 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Oct 17, 2019 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Sep 1, 2012 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Swedish Health Services CurrentSince Sep 28, 2019 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
County of Santa Clara CurrentSince Apr 1, 2025 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Sep 1, 2012 Accepting new patients
Msu Health Care Inc. CurrentSince May 1, 2025 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Sep 1, 2012 Accepting new patients
Obstetrix Medical Group of Washington Inc PS CurrentSince Feb 1, 2015 Accepting new patients
Swedish Health Services CurrentSince Sep 28, 2019 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Sep 1, 2012 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Oct 11, 2012 Accepting new patients
County of Santa Clara Current Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Aug 1, 2017 Accepting new patients
Public Hospital District No 4 King County Washington Current Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 51)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

File 50978
Los Angeles, CA 90074

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

830 Alder Creek Dr
Medford, OR 97504

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

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

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

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

3822 Colby Ave
Everett, WA 98201
Phone (425) 259-0121

5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488

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

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

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

Organizations & group practices 37

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 37

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1841403110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623909",
            "country_code": "US",
            "telephone_number": "360-417-7735",
            "fax_number": "360-565-9074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONDERSMA",
        "first_name": "ROSS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01066258A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60292915",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "WA",
            "license": "MD60292915",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301088540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022790",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rondersma140106@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "939 Caroline St",
            "city": "Port Angeles",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983623909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.