NPIMap

Individual provider Active NPI

Felix G Vladimir, M.D.

  • Vascular Surgery Physician
  • Tacoma, WA
National Provider Identifier
1962472993
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD60019977 Issued in WA
Practice address
1802 Yakima Ave Ste 204
Tacoma, WA 98405-5304
Phone
(253) 382-8540
Fax
(253) 984-2049
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60019977 WA
Surgery Physician 208600000X 220659 MA
Vascular Surgery Physician 2086S0129X MD60019977 WA Primary
Surgical Critical Care Physician 2086S0102X MC-2932 ID
Vascular Surgery Physician 2086S0129X 226002 NY

Addresses

Primary practice location

1802 Yakima Ave Ste 204
Tacoma, WA 98405-5304

Mailing address

1802 Yakima Ave Ste 204
Tacoma, WA 98405-5304
Phone (253) 382-8540

Other practice location 1

1100 Goethals Dr Ste E
Richland, WA 99352-3301
Phone (509) 942-3095

Other practice location 2

1072 N Liberty St Ste 101
Boise, ID 83704-8706
Phone (208) 302-2800

Other identifiers 1

IdentifierTypeStateIssuer
1093274MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fvladimir260766@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, ID3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080602000551 WA Practitioner - Vascular SurgeryPractitioner - General Surgery 6406823483 Reassigns benefits to 3 organizations
I20171117001429 TX Practitioner - Vascular Surgery 6406823483 Reassigns benefits to 1 organization
I20240626000798 ID Practitioner - Vascular Surgery 6406823483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1100 Goethals Dr
Suite E
Richland, WA 99352-3301
Phone (509) 942-2986

1802 Yakima Ave
Suite 307
Tacoma, WA 98405-5305
Phone (253) 627-1244

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)17
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Surgery CurrentSince Mar 26, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Kadlec Regional Medical Center CurrentSince Mar 15, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Multicare Health System CurrentSince Nov 1, 2014 Accepting new patients
Franciscan Medical Group CurrentSince Mar 26, 2020 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Nov 1, 2017 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Franciscan Medical Group Current Accepting new patients
Multicare Health System CurrentSince Nov 1, 2014 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Kadlec Regional Medical Center CurrentSince Mar 15, 2024 Accepting new patients
Jordan Physician Associates, Inc. Surgery Past Accepting new patients
Franciscan Health System Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

1072 N Liberty St
Ste 101
Boise, ID 83704
Phone (208) 302-2800

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

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

710 S 348th St
Ste A
Federal Way, WA 98003
Phone (253) 382-8540

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1100 Goethals Dr
Ste E
Richland, WA 99352
Phone (509) 942-3095

1950 NW Myhre Rd
Silverdale, WA 98383
Phone (560) 240-4000

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

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1802 Yakima Ave
Ste 307
Tacoma, WA 98405
Phone (206) 627-1244

1802 Yakima Ave
Ste 204
Tacoma, WA 98405
Phone (206) 383-3325

Interoperability endpoints

  • Direct secure messaging: fvladimir3371472@direct.trinity-health.org
  • Direct secure messaging: fvladimir822870@wm.providencedirect.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1962472993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055304",
            "telephone_number": "253-382-8540",
            "fax_number": "253-984-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055304",
            "telephone_number": "253-382-8540",
            "fax_number": "253-984-2049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Goethals Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523301",
            "country_code": "US",
            "telephone_number": "509-942-3095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1072 N Liberty St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048706",
            "country_code": "US",
            "telephone_number": "208-302-2800",
            "fax_number": "208-302-2825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VLADIMIR",
        "first_name": "FELIX",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60019977",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "220659",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD60019977",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "ID",
            "license": "MC-2932",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "226002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093274",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fvladimir260766@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1802 Yakima Ave Ste 204",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.