Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaine Menon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508328113

Blaine Menon is an Interventional Radiology in Tacoma, Washington. Qualified in 2019, 7 years ago. Practices with Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, a 115-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Mexico and Washington.

Years since qualifying
7
Licensed in
NM, WA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone: (253) 761-4200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Msc Medicine 1 University Of New Mexico, Albuquerque, NM 87131-0001 — (505) 272-4661
  • Uw Office Of Gme 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 543-2100

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD61631944 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1508328113
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2019
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing addressUw Office Of Gme 1959 Ne Pacific St, Seattle, WA 98195-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tacoma