Active NPI
Michael Benjamin Wells, MD
- Diagnostic Radiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD61253156
- Practice address
- 1304 Fawcett Ave
Tacoma, WA 98402-1911 - Phone
- (713) 500-6500
- NPI assigned
- May 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD61253156 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 01099136A | IN |
Addresses
Primary practice location
1304 Fawcett Ave
Tacoma, WA 98402-1911
Mailing address
1304 Fawcett Ave
Tacoma, WA 98402-1911
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-6793
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwells@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX, IN
- 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
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 Patterson St
Houston, TX 77007-5424
Phone (253) 761-4200
11212 Sunrise Blvd E
Suite 200
Puyallup, WA 98374-8847
Phone (253) 841-4353
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 841-4353
Hospital & facility affiliations
- St Joseph Medical Center
- Tacoma General Allenmore Hospital
- St Anthony Hospital
- St Clare Hospital
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01099136A | IN | MD | Diagnostic Radiology Physician |
| MD61253156 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Past | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Past | Accepting new patients |
Locations
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750
21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391
5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622
500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307
222 15th Ave SE
Puyallup, WA 98372
11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374
3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399
5919 100th St SW
Tacoma, WA 98499
1304 Fawcett Ave
Tacoma, WA 98402
Phone (253) 680-3629
1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372
2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900
3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099
Interoperability endpoints
- mwells@direct.iuhealth.org
- https://app.meldrx.com/api/fhir/ei-trami
Organizations & group practices 8
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
TX
-
- Radiology Clinic/Center
- Bonney Lake, WA
- NPI 1699063354
-
- Radiology Clinic/Center
- Puyallup, WA
- NPI 1215181482
-
- Radiology Clinic/Center
- Bonney Lake, WA
- NPI 1760636930
Hospital & facility affiliations 8
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
- Lakewood, WA
- NPI 1689672693
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1952837874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 FAWCETT AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 FAWCETT AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021911",
"telephone_number": "713-500-6500"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "317-962-6793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "MICHAEL",
"middle_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61253156",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01099136A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwells@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 20, 2026; 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.