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SASHA CAVANAGH MD PC
NPI 1235374158
Dermatology in Olympia, WA

Active since December 05, 2008CLIA 50D1095288 · Certificate of Compliance
3703 ENSIGN RD NE, #10B, OLYMPIA, WA 98506(360) 455-5091 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sasha Cavanagh Md Pc NPPES

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

SASHA CAVANAGH MD PC (NPI 1235374158) is a healthcare organization registered as a dermatology in Olympia, Washington and active in the NPI registry since December 2008. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Sasha Cavanagh, Owner, as its authorized official.

NPPES Registry Identity

NPI1235374158
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSASHA CAVANAGH MD PC
Location Address3703 ENSIGN RD NE, #10BOlympia, WA 98506-5038
Mailing Address3703 Ensign Rd Ne, #10bOlympia, WA 98506-5038 · (360) 455-5091
Phone(360) 455-5091
Organization SubpartNo
Authorized OfficialSasha CavanaghOwner · (360) 455-5091
Enumeration DateDecember 5, 2008
Last NPPES UpdateMarch 29, 2017
✔ NPI 1235374158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3703 ENSIGN RD NE, Olympia, WA 98506
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Sasha Cavanagh Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sasha Cavanagh MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sasha Cavanagh, MD
Dermatology
NPI 1700886017
3703 ENSIGN RD NE # 10-B
Olympia, WA 98506
(360) 455-5091
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D1095288

Sasha Cavanagh MD PC · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D1095288
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2009
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSasha C. Cavanagh
Laboratory Phone(360) 455-5091
Laboratory LocationSasha Cavanagh MD PC3703 Ensign Rd NE Ste 10B, Olympia, WA 98506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Sasha Cavanagh MD PC's NPI number?

The NPI number for Sasha Cavanagh MD PC is 1235374158. It was assigned to this organization in the NPPES registry on December 5, 2008.

Where is Sasha Cavanagh MD PC located?

Sasha Cavanagh MD PC is located at 3703 Ensign Rd NE #10b, Olympia, WA 98506. The listed phone number is (360) 455-5091.

What is Sasha Cavanagh MD PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sasha Cavanagh MD PC enrolled in Medicare?

Yes. Sasha Cavanagh MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sasha Cavanagh MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Sasha Cavanagh MD PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sasha Cavanagh MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D1095288) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sasha Cavanagh MD PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Sasha Cavanagh MD PC 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 Sasha Cavanagh MD PC was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.