DR. ANTHONY F. TAGAVILLA M.D.
NPI 1255532180
Obstetrics & Gynecology - Obstetrics in Renton, WA

Q: What is Anthony Tagavilla's NPI number?

The NPI number for Anthony Tagavilla is 1255532180. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Q: What is Anthony Tagavilla's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Tagavilla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment

17722 TALBOT RD S, RENTON, WA 98055(425) 228-0722(425) 271-2566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Anthony F. Tagavilla M.d. NPPES

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

DR. ANTHONY F. TAGAVILLA M.D. (NPI 1255532180) is an individual obstetrics provider in Renton, Washington, licensed in Washington (MD00047630) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1255532180

Entity TypeIndividualMale

Primary Taxonomy207VX0000X

Provider Legal NameDR. ANTHONY F. TAGAVILLACredential: M.D.

Location Address17722 TALBOT RD SRenton, WA 98055-5744

Mailing Address17722 Talbot Rd SRenton, WA 98055-5744 · (425) 228-0722 · Fax (425) 271-2566

Phone(425) 228-0722

Fax(425) 271-2566

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255532180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

License✔ Licensed in WA · MD00047630

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

17722 TALBOT RD S, Renton, WA 98055

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony F. Tagavilla 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 ID2365537305

PECOS Enrollment IDI20071004000809

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Tagavilla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Medical Group-Renton

0.1 mi

General Acute Care Hospital

400 S 43RD ST
Renton, WA 98055

Reassigned Medicare billing, Washington enrollment
689 clinicians in this Medicare group

NPI 1619209574 (425) 228-3440

Public Hospital District No 2

15 mi

Family Medicine

22850 NE 8TH ST, STE 103
Sammamish, WA 98074

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: King County Public Hospital District No 2
1,074 clinicians in this Medicare group

NPI 1417058694 (425) 898-0305

Kittitas County Public Hospital Dist 1

62 mi

Rural Health

201 ALPHA WAY
Cle Elum, WA 98922

Reassigned Medicare billing, Washington enrollment
163 clinicians in this Medicare group

NPI 1194747774 (509) 674-5331

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

Hospital Affiliations CMS Care Compare

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

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501333

Location603 South ChestnutEllensburg, WA 98926 · Kittitas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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 18

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

ANN K MCFARLANE CNM, MSN

Advanced Practice Midwife