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Dr. Andrew T Sledd , MD

Pediatrics β€’ Puyallup, WA

Active NPI 1194946467 Individual Practitioner Male Practitioner
Practice location in NPPES

1007 39th Ave Se
Puyallup, WA 983742192

Call 2534353100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1007 39th Ave Se

Puyallup, WA 983742192

Telephone 2534353100
Fax 2534353298
Organization at the Same NPPES Address or Phone
Kaiser Foundation Health Plan Of Washington Facility NPI 1447384425

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Sledd has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Sledd as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Puyallup and Washington

24 active clinicians are listed under Pediatrics with a practice address in Puyallup, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Puyallup

0% of these 24 clinicians have the CMS telehealth indicator.

8.3% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-10
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA MD60765787

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA C141414

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1194946467 (MO)
Other Identifier Anthem Bcbs
888783 (MO)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20171129003545

Enrollment State Jurisdiction

WA

PECOS Control ID

4183841810

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Logan Brau , DO

Family Medicine

NPI 1972064392

Doctor of Osteopathic Medicine (D.O.)

NPI 1417310814

Doctor of Medicine (M.D.)

Nathan De Witt , PA-C

Physician Assistant

NPI 1790786705

Physician Assistant (Certified)

Ryan Gonce , MPAS, PA-C

Physician Assistant - Medical

NPI 1659643534

MPAS, Physician Assistant (Certified)

Dr. Samah Hussain , MD

Family Medicine

NPI 1699200469

Doctor of Medicine (M.D.)

Jordan Machen , PA-C

Physician Assistant

NPI 1568935476

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Business Mailing Address June 10, 2022

Registered at 27309 MADISON AVE, TEMECULA, CA 925905685 (Tel: 8335742273)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2022

Pediatrics (license number reported to NPPES: CA C141414)

πŸ“
Updated Practice Location May 05, 2021

Registered at 1007 39TH AVE SE, PUYALLUP, WA 983742192 (Tel: 2534353100)

βœ…
NPI Profile Active November 08, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address November 08, 2017

Registered at 1007 39TH AVE SE, PUYALLUP, WA 983742192 (Tel: 2534353278)

πŸ“
Updated Practice Location November 08, 2017

Registered at 5051 VERDUGO WAY, SUITE 110, CAMARILLO, CA 93012 (Tel: 8053848071)

πŸ‘€
Provider Name / Credentials Updated November 08, 2017

Recorded as ANDREW SLEDD, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2017

Pediatrics (license number reported to NPPES: WA MD60765787)

βœ…
NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 23, 2016

Registered at 5051 VERDUGO WAY, SUITE 110, CAMARILLO, CA 93012 (Tel: 8053848071)

πŸ“
Business Mailing Address (Initial Record) May 23, 2016

Registered at 5051 VERDUGO WAY, SUITE 110, CAMARILLO, CA 93012 (Tel: 8053848071)

πŸ‘€
Provider Name / Credentials (Initial Record) May 23, 2016

Recorded as ANDREW SLEDD, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Pediatrics (license number reported to NPPES: MO 2014020903)

🟒
Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194946467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: June 29, 2022
Sole Proprietor: No

Mailing Address

27309 Madison Ave

Temecula, CA 925905685

Phone: 8335742273

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.