Doctor profile · Federal record

Dr. Tavis Dickerson-Young, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Pediatrics Physician · Seattle, WA

  • NPI 1689092363
  • 12 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4800 Sand Point Way Ne # Mb.7.520
Seattle, WA 981053901
(206) 987-2599
Mailing address
4800 Sand Point Way Ne, Mailstop Mb.7.520
Seattle, WA 981053901

Credentials & registration

NPPES · NUCC
NPI registered
March 2014 — 12 yrs on file
Profile last updated
August 18, 2021
Specialty taxonomy
2080P0204X — NUCC code
State license (1)
Washington #MD60741027

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1689092363. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$700
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
FUJIFILM Sonosite, Inc. 1 $700.00

By nature of payment

Consulting Fee
$700

Frequently asked questions

Auto-generated from federal data
What is Dr. Tavis Dickerson-Young's medical specialty?
Dr. Tavis Dickerson-Young practices Pediatric Emergency Medicine (Pediatrics) Physician in Seattle, WA.
Where does Dr. Tavis Dickerson-Young practice?
Dr. Tavis Dickerson-Young practices at 4800 Sand Point Way Ne # Mb.7.520, Seattle, WA 981053901. Office phone: 2069872599.
What is Dr. Tavis Dickerson-Young's NPI?
Dr. Tavis Dickerson-Young's National Provider Identifier (NPI) is 1689092363, issued by NPPES.