DR. ANDRE BARRANDA BAUTISTA M.D.
NPI 1164665444
Radiology - Vascular & Interventional Radiology in Tacoma, WA

Active since April 15, 2009PECOS EnrolledAccepts Medicare Assignment
1304 FAWCETT AVE STE 100, TACOMA, WA 98402(253) 761-4200 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2024, Apr 25, 2024, Jan 11, 2017 (3 updates tracked since 2017).

About Dr. Andre Barranda Bautista M.d. NPPES

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

DR. ANDRE BARRANDA BAUTISTA M.D. (NPI 1164665444) is an individual vascular & interventional radiology provider in Tacoma, Washington, licensed in Washington (MD60545139) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164665444
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. ANDRE BARRANDA BAUTISTACredential: M.D.
Location Address1304 FAWCETT AVE STE 100Tacoma, WA 98402-1900
Mailing Address1304 Fawcett Ave Ste 100Tacoma, WA 98402-1900 · (253) 761-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 15, 2009
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1164665444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in WA · MD60545139
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MD60545139 (WA)
1304 FAWCETT AVE STE 100, Tacoma, WA 98402

Other Identifiers 1

Medicaid2044117WA

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. Andre Barranda Bautista M.d. 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 ID547573263
PECOS Enrollment IDI20150723007521
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
495 services477 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
123 services122 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
97 services94 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
41 services41 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
34 services18 patients
Review by radiologist of ct guidance for needle placement 77012
This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.
34 services33 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Vascular & Interventional Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Clinic/Center (Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402

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 Andre Bautista's NPI number?

The NPI number for Andre Bautista is 1164665444. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Where is Andre Bautista located?

Andre Bautista practices at 1304 Fawcett Ave Ste 100, Tacoma, WA 98402. The listed phone number is (253) 761-4200.

What is Andre Bautista's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Andre Bautista enrolled in Medicare?

Yes. Andre Bautista is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Andre Bautista affiliated with any hospitals?

According to CMS data, Andre Bautista is affiliated with St Clare Hospital, Multicare Good Samaritan Hospital, St Joseph Medical Center, Tacoma General Allenmore Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Andre Bautista was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.