SHANIK J FERNANDO MD
NPI 1538514179
Otolaryngology in Puyallup, WA
About Shanik J Fernando Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANIK J FERNANDO MD (NPI 1538514179) is an individual otolaryngology provider in Puyallup, Washington, licensed in Washington (MD.MD.70129110) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Vanderbilt University School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Shanik J Fernando Md 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 Reassignments
3Medicare enrollment records show Shanik Fernando reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Puyallup, WA 98374
- Reassigned Medicare billing, Washington enrollment
- 589 clinicians in this Medicare group
Longview, WA 98632
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98374 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shanik Fernando's NPI number?
The NPI number for Shanik Fernando is 1538514179. It was assigned to this individual provider in the NPPES registry on May 2, 2016.
Where is Shanik Fernando located?
Shanik Fernando practices at 104 27th Ave SE, Puyallup, WA 98374. The listed phone number is (253) 770-9000.
What is Shanik Fernando's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Shanik Fernando enrolled in Medicare?
Yes. Shanik Fernando 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 organizations bill Medicare for Shanik Fernando's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanik Fernando reassigns Medicare benefits to 3 organizations: Proliance Surgeons, Inc., P.S. (Puyallup, WA), Providence Health & Services Oregon (Longview, WA) and Providence Health & Services - Oregon (Portland, OR). Each 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 Shanik Fernando's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shanik Fernando accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Shanik Fernando 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.
Is Shanik Fernando affiliated with any hospitals?
According to CMS data, Shanik Fernando is affiliated with Providence St Vincent Medical Center.
When was this NPI record last updated?
The NPPES record for Shanik Fernando was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shanik J Fernando, MD · NPI 1538514179
Otolaryngology physician in Puyallup, Washington. Individual provider, active in the CMS NPPES registry since May 2, 2016.
## Identity
- **NPI:** 1538514179 (Entity type: Individual)
- **Enumerated:** May 2, 2016
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** MD.MD.70129110 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 104 27TH AVE SE, Puyallup, WA 98374-1145
- **Phone:** (253) 770-9000 · **Fax:** (253) 770-9712
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Proliance Surgeons, Inc., P.S. (NPI 1407223985, Puyallup, WA); Providence Health & Services Oregon (NPI 1104097906, Longview, WA); Providence Health & Services - Oregon (NPI 1235259532, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** August 28, 2026
- **Other identifiers:** Medicaid 2221843 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1538514179) · Data from the CMS NPPES public registry.