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

Dr. Anthony F. Tagavilla, MD

Individual provider Obstetrics Physician · NPI 1255532180

Dr. Anthony F. Tagavilla, MD is an Obstetrics/Gynecology in Renton, Washington. Qualified in 2003, 23 years ago. Practices with Kittitas County Public Hospital Dist 1, a 81-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
23
Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

17722 Talbot Rd S
Renton, WA 98055-5744
Phone: (425) 228-0722
Fax: (425) 271-2566
Show map & directions

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

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X · Licence MD00047630 (WA)

Record details

NPI number1255532180
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kittitas County Public Hospital Dist 1 — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Renton