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SOUTH SOUND RADIOLOGY
NPI 1902990500
Radiology - Diagnostic Radiology in Olympia, WA

Active since October 03, 2006
3417 ENSIGN RD NE, OLYMPIA, WA 98506(360) 493-4600(360) 493-4603 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 17, 2022, Jan 29, 2019, Sep 24, 2018 (3 updates tracked since 2018).

About South Sound Radiology NPPES

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

SOUTH SOUND RADIOLOGY (NPI 1902990500) is a healthcare organization registered as a diagnostic radiology in Olympia, Washington and active in the NPI registry since October 2006. The organization lists Charles Hao Shen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1902990500
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTH SOUND RADIOLOGISTS INC P S
Location Address3417 ENSIGN RD NEOlympia, WA 98506-5064
Mailing Address19020 33rd Ave W Ste 210Lynnwood, WA 98036-4748 · (425) 563-1500 · Fax (425) 563-1374
Phone(360) 493-4600
Fax(360) 493-4603
Organization SubpartNo
Authorized OfficialCharles Hao ShenAuthorized Official · (425) 563-1500
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 17, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1902990500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3417 ENSIGN RD NE, Olympia, WA 98506
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Sound Radiology

Other Identifiers 3

Other034600WA · L & I
Medicaid7871908WA
Medicaid1046150WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Sound Radiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

240

Medicare enrollment records show 240 clinicians reassign Medicare billing to South Sound Radiology, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Diagnostic Radiology226
Interventional Radiology7
Nurse Practitioner4
Internal Medicine1
Nuclear Medicine1
Radiation Oncology1

Nearest to this location (20)

See all 240
Tariq Balawi, MD
Diagnostic Radiology
NPI 1235364894
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4600
✔ PECOS✔ Accepts MedicareSame address
Mitchell Kok, MD
Diagnostic Radiology
NPI 1831175421
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4600
✔ PECOS✔ Accepts MedicareSame address
Jack Fields, MD
Diagnostic Radiology
NPI 1326016379
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4600
✔ PECOS✔ Accepts MedicareSame address
Samuel Boynton, MD
Diagnostic Radiology
NPI 1083827992
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4600
✔ PECOS✔ Accepts MedicareSame address
Peter Hu, MD
Diagnostic Radiology
NPI 1841350618
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4609
✔ PECOS✔ Accepts MedicareSame address
Navneet Singha, MD
Diagnostic Radiology
NPI 1669463881
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4600
✔ PECOSSame address
Ian Timms, MD
Diagnostic Radiology
NPI 1396726485
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4600
✔ PECOS✔ Accepts MedicareSame address
Chrystel Venturini, MD
Diagnostic Radiology
NPI 1396882106
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4600
✔ PECOS✔ Accepts MedicareSame address
Kevin Roscoe, M.D.
Diagnostic Radiology
NPI 1407931793
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4600
✔ PECOS✔ Accepts MedicareSame address
David Stagnone, M.D.
Diagnostic Radiology
NPI 1639150725
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4609
✔ PECOS✔ Accepts MedicareSame address
Andrew Taylor, M.D.
Diagnostic Radiology
NPI 1699756783
3417 ENSIGN RD NE
Olympia, WA 98506
(360) 493-4609
✔ PECOS✔ Accepts MedicareSame address
Christopher Hartness, MD
Diagnostic Radiology
NPI 1386805109
413 LILLY RD NE
Olympia, WA 98506
(604) 937-4603
✔ PECOS0.2 mi
Andrew Mosier, D.O.
Diagnostic Radiology
NPI 1366612301
9040 JACKSON AVE
Tacoma, WA 98431
(253) 968-2130
✔ PECOS✔ Accepts Medicare15 mi
Jonathan Davison, M.D.
Nuclear Medicine
NPI 1376500579
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Tacoma, WA 98431
(253) 968-1645
✔ PECOS✔ Accepts Medicare15 mi
Jerry Michel, M.D.
Diagnostic Radiology
NPI 1538140207
9040 JACKSON AVENUE
Tacoma, WA 98431
(253) 968-2130
✔ PECOS21 mi
Tyler Kreager, M.D.
Diagnostic Radiology
NPI 1790216109
925 SENECA ST
Seattle, WA 98101
(206) 583-6079
✔ PECOS✔ Accepts Medicare46 mi
Joseph Ferry, ARNP
Nurse Practitioner
NPI 1710434493
1221 MADISON ST STE 1020
Seattle, WA 98104
(206) 215-2658
✔ PECOS✔ Accepts Medicare46 mi
Marianne Greenbaum, MD
Diagnostic Radiology
NPI 1558440453
1229 MADISON STREET SUITE 1150
Seattle, WA 98104
(206) 386-6300
✔ PECOS✔ Accepts Medicare46 mi
Robert Andrews, MD
Interventional Radiology
NPI 1376685412
1959 NE PACIFIC ST
Seattle, WA 98195
(206) 520-5000
✔ PECOS✔ Accepts Medicare49 mi
James Jeffries, M.D.
Interventional Radiology
NPI 1568826121
1959 NE PACIFIC ST.
Seattle, WA 98195
(206) 520-5000
✔ PECOS✔ Accepts Medicare49 mi
See all 240 clinicians

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 South Sound Radiologists Inc P S's NPI number?

The NPI number for South Sound Radiologists Inc P S is 1902990500. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as South Sound Radiology.

Where is South Sound Radiologists Inc P S located?

South Sound Radiologists Inc P S is located at 3417 Ensign Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-4600.

What is South Sound Radiologists Inc P S's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is South Sound Radiologists Inc P S enrolled in Medicare?

Yes. South Sound Radiologists Inc P S is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Sound Radiologists Inc P S?

According to the CMS Revalidation Reassignment List (October 2026 release), 240 clinicians in 6 Medicare specialties reassign their Medicare billing to South Sound Radiologists Inc P S. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (226), Interventional Radiology (7) and Nurse Practitioner (4). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Sound Radiologists Inc P S accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list South Sound Radiologists Inc P S 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 South Sound Radiologists Inc P S was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.