VLADISLAV POLYAKOV M.D.
NPI 1376698597
Family Medicine in Tacoma, WA

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 596-3300 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2021, Apr 16, 2021 (2 updates tracked since 2021).

About Vladislav Polyakov M.d. NPPES

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

VLADISLAV POLYAKOV M.D. (NPI 1376698597) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (MD00041600) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Port Orchard, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1376698597
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameVLADISLAV POLYAKOVCredential: M.D.
Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265
Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4265 · (253) 596-3300 · Fax (253) 596-3301
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 25, 2007
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1376698597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00041600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

Secondary Practice Location 1

Location 11400 Pottery AvePort Orchard, WA 98366-3711 · Phone (360) 895-5000

Other Identifiers 1

Medicaid8399388WA

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

Vladislav Polyakov 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 ID4688572217
PECOS Enrollment IDI20031222000081
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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.

Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Radiology (Diagnostic Radiology)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pain Medicine (Pain Medicine)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Orthopaedic Surgery
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405

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 Vladislav Polyakov's NPI number?

The NPI number for Vladislav Polyakov is 1376698597. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Vladislav Polyakov located?

Vladislav Polyakov practices at 209 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 596-3300.

What is Vladislav Polyakov's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vladislav Polyakov enrolled in Medicare?

Yes. Vladislav Polyakov 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.

When was this NPI record last updated?

The NPPES record for Vladislav Polyakov was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.