Individual provider Active NPI

Dylan Tracy, D.O.

  • Family Medicine Physician
  • Burien, WA
National Provider Identifier
1932580263
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61102294 Issued in WA
Practice address
16110 8TH Ave SW Ste A2
Burien, WA 98166-2962
Phone
(206) 242-8280
Fax
(206) 242-8302
NPI assigned
Jun 11, 2015
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1646 NE
Family Medicine Physician 207Q00000X 125067436 IL
Family Medicine Physician 207Q00000X OP61102294 WA Primary

Addresses

Primary practice location

16110 8TH Ave SW Ste A2
Burien, WA 98166-2962

Mailing address

16110 8TH Ave SW Ste A2
Burien, WA 98166-2962
Phone (206) 242-8280

Other identifiers 1

IdentifierTypeStateIssuer
2180613MedicaidWA

Other names 1

  • Mr. Dylan Tracy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dtracy703743@fhsce.catholichealth.net Direct Franciscan Medical Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824001577 WA Practitioner - Family Practice 4880997295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

16110 8TH Ave SW
Suite A2
Burien, WA 98166-2962
Phone (253) 426-4352

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125067436ILMDFamily Medicine Physician
OP61102294WAMDFamily Medicine Physician
1646NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Aug 9, 2021 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients

Locations

16045 1st Ave S
Fl 1
Burien, WA 98148
Phone (206) 965-4100

16110 8th Ave SW
Ste A2
Burien, WA 98166
Phone (206) 242-8280

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 4

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 6

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1932580263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 8TH AVE SW STE A2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662962",
            "telephone_number": "206-242-8280",
            "fax_number": "206-242-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 8TH AVE SW STE A2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662962",
            "telephone_number": "206-242-8280",
            "fax_number": "206-242-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "DYLAN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1646",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125067436",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61102294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180613",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtracy703743@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16110 8th Ave SW Ste A2",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981662962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DYLAN",
            "last_name": "TRACY",
            "prefix": "MR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.