NPIMap

Individual provider Active NPI

Sibel Blau, M.D.

  • Hematology & Oncology Physician
  • Puyallup, WA
National Provider Identifier
1962490797
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD00037666 Issued in WA
Practice address
2920 South Meridian
Suite 100
Puyallup, WA 98373-1428
Phone
(253) 841-4296
Fax
(253) 841-2435
NPI assigned
Oct 6, 2005
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD00037666 WA Primary

Addresses

Primary practice location

2920 South Meridian
Suite 100
Puyallup, WA 98373-1428

Mailing address

1624 South I Street
Suite 305
Tacoma, WA 98405-5093
Phone (253) 428-8700

Other names 1

  • Sibel Koc Former name

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
I20060315000795 WA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 4688628373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11511 Canterwood Blvd
Suite 45
Gig Harbor, WA 98332-5816
Phone (253) 428-8700

1624 I St S
Suite 305
Tacoma, WA 98405-5093

1624 S I St
Tacoma, WA 98405-5093
Phone (253) 428-8700

2920 S Meridian
Suite 100
Puyallup, WA 98373-1654
Phone (253) 428-8700

2940 S Meridian
Suite 200
Puyallup, WA 98373-1659
Phone (253) 428-8700

34509 9TH Ave S
Suite 107
Federal Way, WA 98003-8707
Phone (253) 428-8700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Specialties PLLC CurrentSince Mar 1, 2007 Accepting new patients
Northwest Medical Specialties Pharmacy Past Accepting new patients

Locations

1427 Jefferson Ave
Ste 201
Enumclaw, WA 98022
Phone (360) 802-7933

34509 9th Ave S
Ste 107
Federal Way, WA 98003
Phone (253) 272-7777

11511 Canterwood Blvd
Ste 45
Gig Harbor, WA 98332
Phone (253) 426-4772

2920 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 604-4599

2940 S Meridian
Ste 200
Puyallup, WA 98373

400 15th Ave SE
Ste D
Puyallup, WA 98372
Phone (253) 697-4823

1624 S I St
Ste 102
Tacoma, WA 98405
Phone (253) 383-3366

1624 S I St
Ste 305
Tacoma, WA 98405
Phone (253) 383-3376

Organizations & group practices 2

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 9

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1962490797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 SOUTH I STREET",
            "address_2": "SUITE 305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055093",
            "telephone_number": "253-428-8700",
            "fax_number": "253-383-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SOUTH MERIDIAN",
            "address_2": "SUITE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731428",
            "telephone_number": "253-841-4296",
            "fax_number": "253-841-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAU",
        "first_name": "SIBEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00037666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIBEL",
            "last_name": "KOC",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.