PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1306097126
Radiology - Diagnostic Radiology in Walla Walla, WA
About Providence Health & Services - Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1306097126), doing business as Providence Medical Group Southeast Washington Imaging, is a healthcare organization registered as a diagnostic radiology in Walla Walla, Washington and active in the NPI registry since October 2008. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted 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)
Providence Health & Services - Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
275Medicare enrollment records show 275 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. Of these, 43 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 35
Nearest to this location (20)
See all 275Walla Walla, WA 99362
Walla Walla, WA 99362
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 Providence Health & Services - Washington's NPI number?
The NPI number for Providence Health & Services - Washington is 1306097126. It was assigned to this organization in the NPPES registry on October 10, 2008. The provider is doing business as Providence Medical Group Southeast Washington Imaging.
Where is Providence Health & Services - Washington located?
Providence Health & Services - Washington is located at 401 W Poplar Street Pmg SE Wa Imaging, Walla Walla, WA 99362. The listed phone number is (509) 522-5850.
What is Providence Health & Services - Washington's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Providence Health & Services - Washington enrolled in Medicare?
Yes. Providence Health & Services - Washington is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Health & Services - Washington?
According to the CMS Revalidation Reassignment List (October 2026 release), 275 clinicians in 35 Medicare specialties reassign their Medicare billing to Providence Health & Services - Washington. 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 Neurology (42), Nurse Practitioner (33) and Internal Medicine (26). Of these, 43 practice at this address and 110 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services - Washington accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Providence Health & Services - Washington 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 Providence Health & Services - Washington was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Providence Health & Services - Washington · NPI 1306097126
Diagnostic Radiology organization in Walla Walla, Washington. Organization record, active in the CMS NPPES registry since October 10, 2008.
## Identity
- **NPI:** 1306097126 (Entity type: Organization)
- **Enumerated:** October 10, 2008
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Also known as:** Providence Medical Group Southeast Washington Imaging (Doing Business As)
- **Organization subpart:** Yes (part of Providence Health & Services - Washington)
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 401 W POPLAR STREET, PMG SE WA IMAGING, Walla Walla, WA 99362-2846
- **Phone:** (509) 522-5850 · **Fax:** (509) 526-8402
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 275 clinicians in 35 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (42), Nurse Practitioner (33), Internal Medicine (26); 43 practice at this address and 110 within 10 miles; [full list](https://npiprofile.com/npi/1306097126/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2025
- **Other identifiers:** Other 191431900 (WA); Medicaid 7138118 (WA); Other 222605 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306097126) · Data from the CMS NPPES public registry.