Individual provider Active NPI

Asif Abdullah, M.D.

  • Diagnostic Radiology Physician
  • Tacoma, WA
National Provider Identifier
1861620601
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61352043 Issued in WA
Practice address
2502 S Union Ave
Tacoma, WA 98405-1328
Phone
(253) 841-4653
Fax
(253) 446-3973
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 45331 AZ
Diagnostic Radiology Physician 2085R0202X P8206 TX
Diagnostic Radiology Physician 2085R0202X 35.098172 OH
Diagnostic Radiology Physician 2085R0202X DR.0050478 CO
Diagnostic Radiology Physician 2085R0202X ME130339 FL
Diagnostic Radiology Physician 2085R0202X MD61352043 WA Primary

Addresses

Primary practice location

2502 S Union Ave
Tacoma, WA 98405-1328

Mailing address

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other practice location 1

4662 Crosstick Ct
Sylvania, OH 43560-2290
Phone (952) 595-1100

Other practice location 2

51 W Kaley St
Orlando, FL 32806-2942
Phone (407) 999-9925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, FL, MD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120801000389 OH Practitioner - Diagnostic Radiology 9335305622 Reassigns benefits to 3 organizations
I20140627000689 TX Practitioner - Diagnostic Radiology 9335305622 Reassigns benefits to 3 organizations
I20171127001300 FL Practitioner - Diagnostic Radiology 9335305622 Reassigns benefits to 8 organizations
I20230105001899 MD Practitioner - Diagnostic Radiology 9335305622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Radiology Physicians IncGroup PAC ID 9537060470, 62 clinicians

Practice addresses (Care Compare)

1245 NE 8TH Ave
Delray Beach, FL 33483-5903
Phone (904) 399-5550

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

4662 Crosstick CT
Sylvania, OH 43560-2290
Phone (937) 499-7364

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45331AZMDNeuroradiology Physician
DR.0050478COMDDiagnostic Radiology Physician
ME130339FLMDDiagnostic Radiology Physician
35.098172OHMDDiagnostic Radiology Physician
P8206TXMDDiagnostic Radiology Physician
MD61352043WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tra-Minw P S CurrentSince Feb 1, 2023 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Oct 1, 2025 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Feb 1, 2023 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Feb 1, 2023 Accepting new patients
Nchmd, Inc CurrentSince Nov 15, 2017 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Dec 19, 2016 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 1, 2016 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Ton Sells Hospital CurrentSince Apr 20, 2014 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 1, 2016 Accepting new patients
Radiology Physicians Inc Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Dec 19, 2016 Accepting new patients
Nchmd Inc CurrentSince Nov 15, 2017 Accepting new patients
Miami Valley Hospital Past Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
Mercy Medical Partners Northern Region LLC Past Accepting new patients
Simonmed Imaging, Incorporated Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 167)

3618 W Anthem Way
Ste D104
Anthem, AZ 85086
Phone (623) 551-3391

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

818 S Watson Rd
Ste 102
Buckeye, AZ 85326
Phone (623) 302-9080

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

1960 W Frye Rd
Ste 1
Chandler, AZ 85224
Phone (480) 306-7340

725 S Dobson Rd
Ste A105
Chandler, AZ 85224
Phone (480) 786-2827

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

1000 N Humphreys St
Ste 100
Flagstaff, AZ 86001
Phone (928) 223-0200

1760 E Pecos Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 553-8999

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

875 N Greenfield Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 545-0113

6320 W Union Hills Dr
Ste 120
Glendale, AZ 85308
Phone (602) 535-2840

5620 W Thunderbird Rd
Ste A
Glendale, AZ 85306
Phone (602) 336-8600

5410 W Thunderbird Rd
Ste 221
Glendale, AZ 85306
Phone (602) 682-5000

5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935

5410 W Thunderbird Rd
Ste 210
Glendale, AZ 85306
Phone (602) 535-5210

5410 W Thunderbird Rd
Ste 240
Glendale, AZ 85306
Phone (602) 535-5210

7200 W Bell Rd
Ste B
Glendale, AZ 85308
Phone (623) 302-9030

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

13555 W McDowell Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 213-7690

1325 N Litchfield Rd
Ste 115
Goodyear, AZ 85395
Phone (602) 584-4944

7205 S 51st Ave
Ste 101
Laveen, AZ 85339
Phone (602) 627-0170

44555 W Edison Rd
Maricopa, AZ 85138
Phone (520) 666-7960

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 29

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 29

Hospital & facility affiliations 5

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1861620601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021900",
            "telephone_number": "253-761-4200",
            "fax_number": "253-446-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051328",
            "telephone_number": "253-841-4653",
            "fax_number": "253-446-3973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4662 Crosstick Ct",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602290",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 W Kaley St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062942",
            "country_code": "US",
            "telephone_number": "407-999-9925",
            "fax_number": "407-865-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "ASIF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AZ",
            "license": "45331",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P8206",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.098172",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0050478",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME130339",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61352043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.