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ANDREW MAXAM DO
NPI 1821681586
General Practice in Tacoma, WA

Active since February 14, 2021PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-0117 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2022, Feb 14, 2021 (2 updates tracked since 2021).

About Andrew Maxam Do NPPES

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

ANDREW MAXAM DO (NPI 1821681586) is an individual general practice provider in Tacoma, Washington, licensed in Indiana (02006965A) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of University Of The Incarnate Word School Of Osteo Medicine (2021).

NPPES Registry Identity

NPI1821681586
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameANDREW MAXAMCredential: DO
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001
Phone(253) 968-0117
Sole ProprietorNo
Medical School CMSUniversity Of The Incarnate Word School Of Osteo MedicineGraduated 2021
Enumeration DateFebruary 14, 2021
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1821681586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 02006965A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9040 JACKSON AVE, Tacoma, WA 98431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Maxam Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759840887
PECOS Enrollment IDI20260828000618
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Maxam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Columbus Radiology Corp
2,023 mi
Diagnostic Radiology
111 S GRANT AVE
Columbus, OH 43215
  • Reassigned Medicare billing, Alaska enrollment
NPI 1669408159 (888) 271-3826

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Andrew Maxam's NPI number?

The NPI number for Andrew Maxam is 1821681586. It was assigned to this individual provider in the NPPES registry on February 14, 2021.

Where is Andrew Maxam located?

Andrew Maxam practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-0117.

What is Andrew Maxam's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Andrew Maxam enrolled in Medicare?

Yes. Andrew Maxam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Maxam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Maxam reassigns Medicare benefits to Columbus Radiology Corp (Columbus, OH). 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 Andrew Maxam'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 Andrew Maxam was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.