Active NPI
Nicholas Zane Conley, MD
- Diagnostic Radiology Physician
- Tacoma, WA
National Provider Identifier
1912325473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD61039066
- Practice address
- 1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900 - Phone
- (253) 761-4200
- Fax
- (253) 761-4201
- NPI assigned
- Apr 2, 2014
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD61039066 | WA | Primary |
Addresses
Primary practice location
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Mailing address
PO Box 1535
Tacoma, WA 98401-1535
Phone (253) 761-4200
Other practice location 1
200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 647-8762
Other practice location 2
200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 647-8762
Other practice location 3
75 Francis St
Boston, MA 02115
Phone (617) 732-6306
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0424561 | Other | WA | L&I-DIAGNOSTIC IMAGING NW |
| 2157029 | Medicaid | WA | |
| 0424558 | Other | WA | L&I-TRA-REST OF WA |
| 0424559 | Other | WA | L&I-TRA-KING |
| 0424560 | Other | WA | L&I-UNION AVENUE OPEN MRI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northeastern Ohio University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 841-4353
2801 St Anthony Way
Pendleton, OR 97801-3800
Phone (253) 841-4353
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61039066 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Tra-Minw, PS | Diagnostic Radiology | Current | Accepting new patients |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients |
Locations
2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
222 15th Ave SE
Puyallup, WA 98372
2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900
1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372
3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099
9601 Steilacoom Blvd SW
Tacoma, WA 98498
Phone (253) 582-8900
Interoperability endpoints
- nconley490087@direct.multicare.org
- https://app.meldrx.com/api/fhir/ei-trami
Organizations & group practices 6
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.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1447041751
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1568531242
-
- Radiology Clinic/Center
- Puyallup, WA
- NPI 1336419514
-
- Diagnostic Radiology Physician
- Pendleton, OR
- NPI 1588904338
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1912325473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1535",
"city": "TACOMA",
"state": "WA",
"postal_code": "984011535",
"telephone_number": "253-761-4200",
"fax_number": "253-383-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 FAWCETT AVE STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021900",
"telephone_number": "253-761-4200",
"fax_number": "253-761-4201"
}
],
"practiceLocations": [
{
"address_1": "200 Lothrop St",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132536",
"country_code": "US",
"telephone_number": "412-647-8762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Lothrop St",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132536",
"country_code": "US",
"telephone_number": "412-647-8762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02115",
"country_code": "US",
"telephone_number": "617-732-6306",
"fax_number": "617-264-5250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONLEY",
"first_name": "NICHOLAS",
"middle_name": "ZANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61039066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-DIAGNOSTIC IMAGING NW",
"identifier": "0424561",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2157029",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-TRA-REST OF WA",
"identifier": "0424558",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-TRA-KING",
"identifier": "0424559",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-UNION AVENUE OPEN MRI",
"identifier": "0424560",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.