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DR. ANDRE BARRANDA BAUTISTA M.D. NPI 1164665444


NPI Information

NPI: 1164665444
Provider Name: DR. ANDRE BARRANDA BAUTISTA, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1304 FAWCETT AVE
SUITE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
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DR. Andre Barranda Bautista, M.D. is a diagnostic radiology radiology in Tacoma, WA with 15 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Andre Barranda Bautista, M.D. NPI is 1164665444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1304 FAWCETT AVE
SUITE 100
TACOMA, WA
ZIP 98402-911
Phone: (253) 761-4200
Fax: (253) 383-3553

The NPI 1164665444 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes (HCPCS:99144)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • X-ray of abdomen, single view (HCPCS:74000)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)

The enumeration date for this NPI number is 4/15/2009 and was last updated on 1/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyMD60545139WASHINGTONYes
22085R0204XRadiologyVascular & Interventional RadiologyMD60545139WASHINGTONNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12044117MEDICAIDWASHINGTON
2G8941911MEDICARE PINWASHINGTON
3P01528803MEDICARE PINWASHINGTON
4G8941913MEDICARE PINWASHINGTON
5G8941909MEDICARE PINWASHINGTON
6P01528800MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.