DR. MATIYAS ASRAT SHIFERAW MD
NPI 1063209492
General Practice in Tacoma, WA

Q: What is Matiyas Shiferaw's NPI number?

The NPI number for Matiyas Shiferaw is 1063209492. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Q: What is Matiyas Shiferaw's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Matiyas Shiferaw was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2025PECOS EnrolledAccepts Medicare Assignment

3020 S UNION AVE, TACOMA, WA 98409(253) 844-4327 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Matiyas Asrat Shiferaw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATIYAS ASRAT SHIFERAW MD (NPI 1063209492) is an individual general practice provider in Tacoma, Washington, licensed in Washington (61681840) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1063209492

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. MATIYAS ASRAT SHIFERAWCredential: MD

Location Address3020 S UNION AVETacoma, WA 98409-3317

Mailing Address917 Pacific Ave Ste 600Tacoma, WA 98402-4437 · (253) 844-4327

Phone(253) 844-4327

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 21, 2025

Last NPPES UpdateAugust 6, 2025

NPPES CertifiedAugust 6, 2025

✔ NPI 1063209492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in WA · 61681840

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3020 S UNION AVE, Tacoma, WA 98409

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matiyas Asrat Shiferaw Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062939945

PECOS Enrollment IDI20250505001385

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLA NICOLE AMADEI GATTI MD

Family Medicine (Adult Medicine)