TAVIS DICKERSON-YOUNG MD
NPI 1689092363
Pediatrics - Pediatric Emergency Medicine in Seattle, WA
About Tavis Dickerson-young Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAVIS DICKERSON-YOUNG MD (NPI 1689092363) is an individual pediatric emergency medicine provider in Seattle, Washington, licensed in Washington (MD60741027) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Tavis Dickerson-young 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
2Medicare enrollment records show Tavis Dickerson-young reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Kent, WA 98030
- Reassigned Medicare billing, Washington enrollment
- 4,383 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.
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 Tavis Dickerson-young's NPI number?
The NPI number for Tavis Dickerson-young is 1689092363. It was assigned to this individual provider in the NPPES registry on March 31, 2014.
Where is Tavis Dickerson-young located?
Tavis Dickerson-young practices at 4800 Sand Point Way NE # Mb.7.520, Seattle, WA 98105. The listed phone number is (206) 987-2599.
What is Tavis Dickerson-young's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Tavis Dickerson-young enrolled in Medicare?
Yes. Tavis Dickerson-young 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 Tavis Dickerson-young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tavis Dickerson-young reassigns Medicare benefits to 2 organizations: Association Of Chmc And University Physicians (Seattle, WA) and Multicare Health System (Kent, WA). 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 Tavis Dickerson-young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tavis Dickerson-young accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tavis Dickerson-young 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 Tavis Dickerson-young was last updated on August 18, 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.
# Tavis Dickerson-Young, MD · NPI 1689092363
Pediatric Emergency Medicine physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since March 31, 2014.
## Identity
- **NPI:** 1689092363 (Entity type: Individual)
- **Enumerated:** March 31, 2014
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** MD60741027 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 4800 SAND POINT WAY NE # MB.7.520, Seattle, WA 98105-3901
- **Phone:** (206) 987-2599
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Association Of Chmc And University Physicians (NPI 1649497827, Seattle, WA); Multicare Health System (NPI 1811949928, Kent, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** August 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1689092363) · Data from the CMS NPPES public registry.