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

Tavis Dickerson-Young, MD

Individual provider Pediatrics Physician · NPI 1689092363

Tavis Dickerson-Young, MD is a Pediatric Medicine in Seattle, Washington. Graduated from University of Southern California Keck School of Medicine in 2014, 12 years ago. Practices with The Association of Chrmc and University Physicians, a 307-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Trained at
University of Southern California Keck School of Medicine
Licensed in
WA
In the registry since
2014
Specialties on file
2
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

4800 Sand Point Way NE # MB.7.520
Seattle, WA 98105-3901
Phone: (206) 987-2599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence MD60741027 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence MD60741027 (WA)

Record details

NPI number1689092363
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2014
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address4800 Sand Point Way Ne, Mailstop Mb.7.520, Seattle, WA 98105-3901

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Association Of Chrmc And University Physicians — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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