Individual provider Active NPI

Tul Kalayanamit, MD

  • Internal Medicine Physician
  • Everett, WA
National Provider Identifier
1932171527
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60619971 Issued in WA
Practice address
3901 Hoyt Ave
Everett, WA 98201-4918
Phone
(425) 339-5420
NPI assigned
Feb 7, 2006
Last updated
Sep 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60619971 WA Primary
Internal Medicine Physician 207R00000X MD219676 OR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X J6140 TX
Pulmonary Disease Physician 207RP1001X J6140 TX

Addresses

Primary practice location

3901 Hoyt Ave
Everett, WA 98201-4918

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 339-5420

Other practice location 1

2830 Crescent Ave
Eugene, OR 97408-7397
Phone (541) 686-9000

Other practice location 2

9709 3rd Ave NE
Seattle, WA 98115-2062
Phone (206) 525-5777

Other practice location 3

600 Country Club Rd Ste 100
Eugene, OR 97401-2240
Phone (541) 463-2390

Other identifiers 6

IdentifierTypeStateIssuer
169580101MedicaidTX
169580104MedicaidTX
1932171527MedicaidOR
169580102MedicaidTX
169580103MedicaidTX
2055455MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160418001448 WA Practitioner - Internal Medicine 3577526011 Reassigns benefits to 3 organizations
I20241015000597 OR Practitioner - Internal Medicine 3577526011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD219676ORMDInternal Medicine Physician
MD60619971WAMDInternal Medicine Physician
J6140TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Internal Medicine CurrentSince Mar 14, 2024 Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Mar 21, 2016 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jun 6, 2018 Accepting new patients
King County Public Hospital District No. 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Mar 21, 2016 Accepting new patients
The Polyclinic PLLC Internal Medicine CurrentSince Mar 14, 2024 Accepting new patients
Public Hospital District No 2 CurrentSince Jun 6, 2018 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Sep 25, 2024 Accepting new patients
Southwest Pulmonary Associates Pulmonary Disease Past Accepting new patients
Lewisville Pulmonary Associates, PA Pulmonary Disease Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients
King County Public Hospital District No 2 Internal Medicine Past Accepting new patients
Tyler Nephrology Associates, P.a. PastSince Aug 27, 2012 Accepting new patients

Locations

2830 Crescent Ave
Eugene, OR 97408
Phone (541) 636-9019

600 Country Club Rd
#100
Eugene, OR 97401
Phone (541) 228-3400

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

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

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

3927 Rucker Ave
Ste 202
Everett, WA 98201

11521 NE 128th St
Ste 130
Kirkland, WA 98034
Phone (425) 899-4280

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tkalayanamit112259@westdirect.optum.com
  • Direct secure messaging: tkalayanamit14913@direct.tecmc.com
  • Direct secure messaging: tkalayanamit88574@direct.texashealth.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1932171527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-339-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014918",
            "telephone_number": "425-339-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974087397",
            "country_code": "US",
            "telephone_number": "541-686-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9709 3rd Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981152062",
            "country_code": "US",
            "telephone_number": "206-525-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Country Club Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012240",
            "country_code": "US",
            "telephone_number": "541-463-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALAYANAMIT",
        "first_name": "TUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60619971",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD219676",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "J6140",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J6140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169580101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169580104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932171527",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169580102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169580103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055455",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.