NPIMap

Individual provider Active NPI

Tsering Dhondup, MD

  • Nephrology Physician
  • Olympia, WA
National Provider Identifier
1942561824
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD60821582 Issued in WA
Practice address
3525 Ensign Rd NE Ste K
Olympia, WA 98506-5065
Phone
(360) 413-8121
Fax
(360) 413-8865
NPI assigned
Jun 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD60821582 WA Primary

Addresses

Primary practice location

3525 Ensign Rd NE Ste K
Olympia, WA 98506-5065

Mailing address

3525 Ensign Rd NE Ste K
Olympia, WA 98506-5065
Phone (360) 413-8121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622002573 WA Practitioner - Nephrology 3779705090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Nephrology Associates PLLCGroup PAC ID 1153392592, 9 clinicians

Practice addresses (Care Compare)

3525 Ensign Rd NE
Suite K
Olympia, WA 98506-5065
Phone 36041381211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60821582WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Nephrology Associates PLLC Nephrology CurrentSince Aug 1, 2018 Accepting new patients

Locations

3525 Ensign Rd NE
Ste K
Olympia, WA 98506
Phone (360) 413-8121

Interoperability endpoints

  • Direct secure messaging: tsering.dhondup@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1942561824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE STE K",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-413-8121",
            "fax_number": "360-413-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE STE K",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-413-8121",
            "fax_number": "360-413-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHONDUP",
        "first_name": "TSERING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60821582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.