DR. WATARU TAMURA (MD) – Gastroenterology Physician, NPI 1073658365

DR. WATARU TAMURA (MD) is a healthcare provider. based in Seattle, Washington. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MD60258237 (WA). The NPI Number for DR. WATARU TAMURA (MD) is 1073658365

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. WATARU TAMURA (MD)
NPI
1073658365
Phone
(206) 365-4492
Address
11027 MERIDIAN AVE N
Enumeration Date
21 February 2007
Last Update Date
14 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2063654492
Graduation Year
1991 (35 years ago)
PAC ID
0941245377
Group Practice PAC ID
1759278252
Professional Enrollment ID
I20141111001151
Address ID
WA981331705SE11027NXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

474 GASTROENTEROLOGY in WA

Provider Addresses for DR. WATARU TAMURA (MD)

  • 11027 MERIDIAN AVE N

    SUITE 100

    SEATTLE, WA 981331705

    Phone: (206) 365-4492

    Fax: (206) 368-3456

    Type: Location

  • 16504 9TH AVE SE

    SUITE 106

    MILL CREEK, WA 980126396

    Phone: (425) 977-4620

    Fax: (425) 745-9836

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $1,253.

Total Amount is formed as General ($1,253) + Research ($0) + Ownership ($0) = $1,253.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($284).

Total Amount

$1,253

General + Research + Ownership

Payments

63

Total payment records

General Amount

$1,253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141111001151IGastroenterologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes152121$0
45380Biopsy of large bowel using a flexible endoscope128127$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6766$0
99204New patient office or other outpatient visit, 45-59 minutes6464$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk4443$0
View full utilization report →

Insurance plans in this area (ZIP 98133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759278252View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YWA
Nurse PractitionerWA
Nurse PractitionerWA
G A S T R O E N T E R O L O G YWA
Nurse PractitionerWA
G A S T R O E N T E R O L O G YWA
G A S T R O E N T E R O L O G YWA
Physician AssistantWA
Gastroenterology, Internal MedicineWA
G A S T R O E N T E R O L O G YWA

Reviews

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Frequently asked questions

What is DR. WATARU TAMURA (MD)'s NPI number?
DR. WATARU TAMURA (MD)'s NPI is 1073658365 — the number used across U.S. healthcare to identify this provider.
Would DR. WATARU TAMURA (MD) appear as active to a payer?
You can treat DR. WATARU TAMURA (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. WATARU TAMURA (MD)?
DR. WATARU TAMURA (MD)'s record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is DR. WATARU TAMURA (MD) associated with Seattle?
Public fields place DR. WATARU TAMURA (MD) around Seattle, Washington. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. WATARU TAMURA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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