Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alfonso Ricardo Urdaneta-Moncada, MD

Individual provider Neuroradiology Physician · NPI 1477812873

Dr. Alfonso Ricardo Urdaneta-Moncada, MD is a Diagnostic Radiology in Lynnwood, Washington. Graduated from University of California, Geffen School of Medicine in 2010, 16 years ago. Practices with Radiology Associates PA, a 103-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alaska, Idaho, Michigan and Washington.

Years since qualifying
16
Trained at
University of California, Geffen School of Medicine
Licensed in
AK, ID, MI, WA
In the registry since
2012
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4660 S Hagadorn Rd Ste 410, East Lansing, MI 48823-6819 — (517) 884-6132
  • 4660 S Hagadorn Rd Ste 510, East Lansing, MI 48823-6805 — (517) 884-7450
  • 3220 Discovery Dr Ste 100, Lansing, MI 48910-8609 — (517) 975-8930

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD60665935 (WA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 116005 (AK)
Neuroradiology Physician Taxonomy 2085N0700X · Licence MD60665935 (WA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence M-13632 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 116005 (AK)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-13632 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301501630 (MI)

Record details

NPI number1477812873
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Radiology Associates Pa — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

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