VLADISLAV POLYAKOV M.D.
NPI 1376698597
Family Medicine in Tacoma, WA
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Vladislav Polyakov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
TACOMA, WA 98405
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.
Which organization bills Medicare for Vladislav Polyakov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vladislav Polyakov reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Renton, WA). The 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 Vladislav Polyakov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Vladislav Polyakov, M.D. · NPI 1376698597
Family Medicine physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1376698597 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00041600 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405-4265
- **Phone:** (253) 596-3300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** May 4, 2021
- **Other identifiers:** Medicaid 8399388 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376698597) · Data from the CMS NPPES public registry.