Active NPI
John J Travaglini II, M.D.
- Radiation Oncology Physician
- Renton, WA
National Provider Identifier
1902820095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD00020038
- Practice address
- 400 South 43Rd
C/O Valley Radiation Oncology
Renton, WA 98055 - Phone
- (425) 251-5121
- Fax
- (425) 656-4072
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD00020038 | WA | Primary |
Addresses
Primary practice location
400 South 43Rd
C/O Valley Radiation Oncology
Renton, WA 98055
Mailing address
PO Box 749730
Los Angeles, CA 90074-9730
Phone (206) 971-0034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019648 | Medicaid | WA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tumor Institute Radiation Oncology Group LLP | Radiation Oncology | Current | Accepting new patients |
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic | Current | Accepting new patients | |
| Tirog at Valley PLLC | Radiation Oncology | Past | Accepting new patients |
Locations
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
1221 Madison St
Ste 1
Seattle, WA 98104
Phone (206) 215-6251
1145 Broadway
Seattle, WA 98122
1221 Madison St
Ste 150
Seattle, WA 98104
Phone (206) 215-6433
Interoperability endpoints
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
- jtravaglini18222@direct.valleymed.org
Organizations & group practices 5
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.
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- Radiation Oncology Physician
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- NPI 1184632572
-
- Ambulatory Surgical Clinic/Center
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- NPI 1073944039
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- Radiation Oncology Physician
- Renton, WA
- NPI 1568485761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1902820095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749730",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900749730",
"telephone_number": "206-971-0034",
"fax_number": "206-215-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SOUTH 43RD",
"address_2": "C/O VALLEY RADIATION ONCOLOGY",
"city": "RENTON",
"state": "WA",
"postal_code": "98055",
"telephone_number": "425-251-5121",
"fax_number": "425-656-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVAGLINI",
"first_name": "JOHN",
"middle_name": "J",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD00020038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019648",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.