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

Individual provider Family Medicine Physician · NPI 1376698597

Vladislav Polyakov, MD is a Family Practice in Tacoma, Washington. Qualified in 1999, 27 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2007
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

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone: (253) 596-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Pottery Ave, Port Orchard, WA 98366-3711 — (360) 895-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00041600 (WA)

Record details

NPI number1376698597
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021
Mailing address209 Martin Luther King Jr Way, Tacoma, WA 98405-4265

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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