Individual provider Active NPI

Ndegwa M. Njuguna, M.D.

  • Hematology & Oncology Physician
  • Tacoma, WA
National Provider Identifier
1851577522
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD60067896 Issued in WA
Practice address
1624 S I St Ste 102
Tacoma, WA 98405-5029
Phone
(253) 428-8700
NPI assigned
Jan 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD60067896 WA Primary

Addresses

Primary practice location

1624 S I St Ste 102
Tacoma, WA 98405-5029

Mailing address

1624 S I St Ste 305
Tacoma, WA 98405-5093
Phone (253) 428-8700

Other practice location 1

11511 Canterwood Blvd Ste 45
Gig Harbor, WA 98332-5816
Phone (253) 428-8700

Other practice location 2

1624 S I St Ste 102
Tacoma, WA 98405-5029
Phone (253) 428-8700

Other identifiers 1

IdentifierTypeStateIssuer
8539975MedicaidWA

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
I20090715000778 WA Practitioner - Hematology/Oncology 3072564079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Medical Specialties PLLCGroup PAC ID 8022903384, 37 clinicians

Practice addresses (Care Compare)

11511 Canterwood Blvd
Suite 45
Gig Harbor, WA 98332-5816
Phone (253) 428-8700

1624 I St S
Suite 305
Tacoma, WA 98405-5093

1624 S I St
Tacoma, WA 98405-5093
Phone (253) 428-8700

2920 S Meridian
Suite 100
Puyallup, WA 98373-1654
Phone (253) 428-8700

2940 S Meridian
Suite 200
Puyallup, WA 98373-1659
Phone (253) 428-8700

34509 9TH Ave S
Suite 107
Federal Way, WA 98003-8707
Phone (253) 428-8700

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Specialties PLLC CurrentSince Jun 1, 2018 Accepting new patients
Northwest Medical Specialties Pharmacy Past Accepting new patients

Locations

11511 Canterwood Blvd
Ste 45
Gig Harbor, WA 98332
Phone (253) 426-4772

3920 Capital Mall Dr SW
Ste 402
Olympia, WA 98502
Phone (360) 704-4786

3920 Capital Mall Dr SW
Ste 404
Olympia, WA 98502

1624 S I St
Ste 102
Tacoma, WA 98405
Phone (253) 383-3366

1624 S I St
Ste 305
Tacoma, WA 98405

Organizations & group practices 2

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 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": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1851577522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S I ST STE 305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055093",
            "telephone_number": "253-428-8700",
            "fax_number": "253-383-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S I ST STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055029",
            "telephone_number": "253-428-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11511 Canterwood Blvd Ste 45",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983325816",
            "country_code": "US",
            "telephone_number": "253-428-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 S I St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984055029",
            "country_code": "US",
            "telephone_number": "253-428-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJUGUNA",
        "first_name": "NDEGWA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD60067896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8539975",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.