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Dr. Nicholas Shaw Diacou , DO

General Practice β€’ Tacoma, WA

Active NPI 1558105163 Individual Practitioner Male Practitioner
Practice location in NPPES

9040 Jackson Ave
Tacoma, WA 984315001

Call 2539682462 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

9040 Jackson Ave

Tacoma, WA 984315001

Telephone 2539682462
Fax 2539682972
Organization at the Same NPPES Address or Phone
Defense Finance & Actg Serv Facility NPI 1992784144

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

2024

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

Compared with the same specialty in Tacoma and Washington

167 active clinicians are listed under General Practice with a practice address in Tacoma, WA (389 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tacoma

0% of these 167 clinicians have the CMS telehealth indicator.

7.2% of these 167 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: 2026-04-10
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES NE 3136

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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

Clinicians Sharing This Practice Address or Phone

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

4 listed
Dr. Kyle Bauer , DO

Internal Medicine

NPI 1134750599

Doctor of Osteopathic Medicine (D.O.)

Dr. Marta Dzurilla , MD

Internal Medicine

NPI 1225006596

Doctor of Medicine (M.D.)

Dr. Aaron Ufferman , MD

Internal Medicine

NPI 1093976144

Doctor of Medicine (M.D.)

Maria Wilchaida Wilder , ARNP

Nurse Practitioner - Family

NPI 1508230061

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2026

General Practice (license number reported to NPPES: NE 3136)

πŸ“
Updated Practice Location August 05, 2025

Registered at 9040 JACKSON AVE, TACOMA, WA 984315001 (Tel: 2539682462)

πŸ“
Updated Business Mailing Address August 05, 2025

Registered at 9040 JACKSON AVE, TACOMA, WA 984315001 (Tel: 8084332474)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Military Health Care Provider

βœ…
NPI Profile Active June 20, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 20, 2024

Registered at 1 JARRETT WHITE RD, TRIPLER AMC, HI 968595001 (Tel: 8084332474)

πŸ“
Business Mailing Address (Initial Record) June 20, 2024

Registered at 1 JARRETT WHITE RD, TRIPLER AMC, HI 968595001 (Tel: 8084332474)

πŸ‘€
Provider Name / Credentials (Initial Record) June 20, 2024

Recorded as NICHOLAS DIACOU, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 20, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558105163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2024
Last Update: April 10, 2026
Sole Proprietor: No

Other General Practices in Tacoma

All General Practices in Tacoma

Mailing Address

9040 Jackson Ave

Tacoma, WA 984315001

Phone: 8084332474

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.