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PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C.
NPI 1164445367
Pediatrics - Pediatric Cardiology in Tacoma, WA

Active since July 26, 2006
314 MARTIN LUTHER KING JR WAY, STE. 303, TACOMA, WA 98405(253) 396-4868(253) 396-4870 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2024, Jul 7, 2021, Nov 5, 2019 (3 updates tracked since 2019).

About Pediatrix Cardiology Of Washington, P.c. NPPES

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

PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C. (NPI 1164445367) is a healthcare organization registered as a pediatric cardiology in Tacoma, Washington and active in the NPI registry since July 2006. The organization lists Nanette Sanders, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1164445367
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDIATRIX CARDIOLOGY OF WASHINGTON, P.C.
Location Address314 MARTIN LUTHER KING JR WAY, STE. 303Tacoma, WA 98405-4250
Mailing Address1301 Concord TerSunrise, FL 33323-2843 · (800) 243-3839 · Fax (844) 686-2961
Phone(253) 396-4868
Fax(253) 396-4870
Organization SubpartNo
Authorized OfficialNanette SandersAssistant Secretary · (800) 243-3839
Enumeration DateJuly 26, 2006
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1164445367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
314 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405
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Other Identifiers 3

Medicaid1164445367WA
Medicaid1164445367ID
MedicaidMDG20WAAK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatrix Cardiology Of Washington, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Pediatrix Cardiology Of Washington, P.C., which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Pediatric Medicine8
Ophthalmology3
Optometry2
Pediatric Cardiology1

Clinicians, nearest first (14)

Jennie Allen-Rich, MD
Pediatric Medicine
NPI 1194980193
603 S J ST STE 102
Tacoma, WA 98405
(253) 396-4868
✔ PECOS1.2 mi
Rakesh Dsouza, M.D
Pediatric Medicine
NPI 1912210899
603 S J ST STE 102
Tacoma, WA 98405
(253) 396-4868
✔ PECOS✔ Accepts Medicare1.2 mi
John Mccloskey, MD
Pediatric Medicine
NPI 1245285501
603 S J ST STE 102
Tacoma, WA 98405
(253) 396-4868
✔ PECOS✔ Accepts Medicare1.2 mi
Matthew Park, M.D.
Pediatric Medicine
NPI 1699875716
603 S J ST STE 102
Tacoma, WA 98405
(253) 396-4868
✔ PECOS✔ Accepts Medicare1.2 mi
Nefthi Sandeep, M.D.
Pediatric Medicine
NPI 1922269661
603 S J ST STE 102
Tacoma, WA 98405
(253) 396-4868
✔ PECOS✔ Accepts Medicare1.2 mi
Aida Mekouar, OD
Optometry
NPI 1154661791
310 15TH AVE E
Seattle, WA 98112
(206) 326-3000
✔ PECOS25 mi
Kimberly Krabill, MD
Pediatric Medicine
NPI 1508937509
1229 MADISON ST STE 860
Seattle, WA 98104
(206) 223-2178
✔ PECOS25 mi
Jeannette Stallworth, MD
Ophthalmology
NPI 1194285882
4800 SAND POINT WAY NE
Seattle, WA 98105
(206) 987-2177
✔ PECOS29 mi
Kenneth Epley, M.D.
Ophthalmology
NPI 1588642003
11800 NE 128TH ST SUITE 430
Kirkland, WA 98034
(425) 823-3937
✔ PECOS✔ Accepts Medicare34 mi
Vy Mai, O.D
Optometry
NPI 1831597715
11800 NE 128TH ST STE 430
Kirkland, WA 98034
(425) 823-3937
✔ PECOS34 mi
Christopher Bellotti, M.D.
Pediatric Medicine
NPI 1023261989
3901 HOYT AVE
Everett, WA 98201
(425) 339-5411
✔ PECOS50 mi
Joan Lee, M.D.
Pediatric Medicine
NPI 1619362274
3801 KERN WAY
Yakima, WA 98902
(509) 574-3238
✔ PECOS100 mi
Krista Heidar, M.D.
Ophthalmology
NPI 1730293119
303 MULBERRY ST NE
Albuquerque, NM 87106
(505) 243-9739
✔ PECOS✔ Accepts Medicare1,173 mi
Paul Kim, M.D.
Pediatric Cardiology
NPI 1265471312
225 E CHICAGO AVE # 21
Chicago, IL 60611
(312) 227-4100
✔ PECOS1,743 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatrix Cardiology Of Washington, P.C.'s NPI number?

The NPI number for Pediatrix Cardiology Of Washington, P.C. is 1164445367. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Pediatrix Cardiology Of Washington, P.C. located?

Pediatrix Cardiology Of Washington, P.C. is located at 314 Martin Luther King Jr Way Ste. 303, Tacoma, WA 98405. The listed phone number is (253) 396-4868.

What is Pediatrix Cardiology Of Washington, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Pediatrix Cardiology Of Washington, P.C. enrolled in Medicare?

Yes. Pediatrix Cardiology Of Washington, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatrix Cardiology Of Washington, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Pediatrix Cardiology Of Washington, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pediatric Medicine (8), Ophthalmology (3) and Optometry (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatrix Cardiology Of Washington, P.C. accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Pediatrix Cardiology Of Washington, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatrix Cardiology Of Washington, P.C. was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.