NPIMap

Individual provider Active NPI

Dariusz Walczak, MD

  • Anesthesiology Physician
  • Mill Creek, WA
National Provider Identifier
1861424236
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00035997 Issued in WA
Practice address
14416 33Rd Dr SE
Mill Creek, WA 98012-5028
Phone
(425) 350-8481
Fax
(425) 357-0941
NPI assigned
Jul 7, 2006
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00035997 WA Primary

Addresses

Primary practice location

14416 33Rd Dr SE
Mill Creek, WA 98012-5028

Mailing address

14416 33Rd Dr SE
Mill Creek, WA 98012-5028
Phone (425) 350-8481

Other identifiers 3

IdentifierTypeStateIssuer
5642WAOtherB/S REGENCE 90
8243529MedicaidWA
189643OtherL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103001051 WA Practitioner - Anesthesiology 3779541065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesia Associates PLLCGroup PAC ID 0941112098, 45 clinicians

Practice addresses (Care Compare)

400 S 43Rd St
Renton, WA 98055-5714
Phone (800) 540-1814

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00035997WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc, PS CurrentSince Mar 25, 2022 Accepting new patients
Valley Anesthesia Associates, PLLC Anesthesiology CurrentSince Jun 25, 2021 Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 6, 2013 Accepting new patients
Physicians Anesthesia Service PLLC Anesthesiology Current Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 6, 2013 Accepting new patients
Pacific Anesthesia PC Anesthesiology Past Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology Past Accepting new patients
Monroe Anesthesia Physicians, PLLC Anesthesiology PastSince Jan 14, 2024 Accepting new patients

Locations

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

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

1728 W Marine View Dr
Ste 111
Everett, WA 98201

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

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578

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

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1861424236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14416 33RD DR SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125028",
            "telephone_number": "425-350-8481",
            "fax_number": "425-357-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 33RD DR SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125028",
            "telephone_number": "425-350-8481",
            "fax_number": "425-357-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZAK",
        "first_name": "DARIUSZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00035997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S REGENCE 90",
            "identifier": "5642WA",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8243529",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "189643",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.