Active NPI
Sean Tanu Dwijendra, MD
- Diagnostic Radiology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD61408278
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-0001 - Phone
- (206) 520-5000
- NPI assigned
- Apr 13, 2018
- Last updated
- Nov 17, 2025
- 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 | MD61408278 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-0001
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Other practice location 1
4245 Roosevelt Way NE
Seattle, WA 98105-6008
Phone (206) 520-5000
Other practice location 2
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200
Other practice location 3
125 N 18th St Ste C
Mount Vernon, WA 98273-3902
Phone (360) 428-7201 ext. 1201
Other practice location 4
325 9th Ave
Seattle, WA 98104-2420
Phone (206) 520-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rush Medical College of Rush University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355
52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111
Hospital & facility affiliations
- Orlando Health
- Orlando Health South Lake Hospital
- Harborview Medical Center
- University of Washington Medical Ctr
- Orlando Health-Health Central Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61408278 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Ohri, LLC | Current | Accepting new patients | |
| North Star Medical Imaging PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ohri, LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Iliuliuk Family and Health Services Inc | Current | Accepting new patients | |
| Ohri, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Fairbanks Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Bellingham Advanced Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Skagit Radiology Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Iliuliuk Family &Health Services, Inc. | Past | Accepting new patients |
Locations
2310 Peger Rd
Ste 102
Fairbanks, AK 99709
250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404
398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
52 Underwood St
#153
Orlando, FL 32806
Phone (321) 841-2558
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393
101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656
125 N 18th St
Ste C
Mount Vernon, WA 98273
Phone (360) 428-7274
1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
4245 Roosevelt Way NE
Seattle, WA 98105
Phone (206) 598-4055
Networks
- Freedom Health HMO Network
Interoperability endpoints
- sdwijendra46268@skagit.direct-ci.com
Organizations & group practices 15
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.
-
dba University of Washington Physicians
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Diagnostic Radiology
-
dba Orlando Health Imaging Centers
- Diagnostic Radiology Physician
- Altamonte Springs, FL
- NPI 1386034346
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Diagnostic Radiology Physician
- Bellingham, WA
- NPI 1730605965
AK
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Federally Qualified Health Center (FQHC)
- Unalaska, AK
- NPI 1376520692
WA
-
dba Women's Imaging Center
- Diagnostic Radiology Physician
- Mount Vernon, WA
- NPI 1043328636
AK
-
dba WWMG Dept of Imaging
- Radiology Clinic/Center
- Everett, WA
- NPI 1720430903
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1942797170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "4245 Roosevelt Way NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981056008",
"country_code": "US",
"telephone_number": "206-520-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "834 Sheridan St",
"address_purpose": "LOCATION",
"city": "Port Townsend",
"state": "WA",
"postal_code": "983682443",
"country_code": "US",
"telephone_number": "360-385-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 N 18th St Ste C",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982733902",
"country_code": "US",
"telephone_number": "360-428-7201 x1201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 9th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042420",
"country_code": "US",
"telephone_number": "206-520-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DWIJENDRA",
"first_name": "SEAN",
"middle_name": "TANU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-13",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61408278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.