Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1851386619 Deactivated / Inactive NPI Female Practitioner

Dr. Elena Eustaquio Icayan , MD SCD

Nuclear Medicine • Pasco, WA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Elena Icayan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2005
NPI Deactivation Date May 01, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Elena Icayan, MD SCD was a registered Nuclear Medicine practicing in Pasco, WA. Throughout an active medical career spanning 20 years, Dr. Icayan provided care at the practice location at 520 N 4TH AVE until profile deactivation on 2025-05-01.

Practice Location & Contact Primary Location

Practice Address

520 N 4th Ave

Pasco, WA 993015257

Telephone 5095462318
Fax 5095462317
Associated Practice Facility / Clinic
🏢 Nuclear Medicine Services Facility NPI 1336133644

Specialty Benchmarks & Practice Insights

Comparative analytics for Nuclear Medicine in Pasco, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Pasco, WA (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nuclear Medicine Primary Specialty

NUCC Taxonomy Code: 207U00000X

State License WA MD00013006

A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ronald Davis , MD

Emergency Medicine

NPI 1003843269

Doctor of Medicine (M.D.)

Stefanie Davis , RD

Dietitian, Registered

NPI 1013045533

Registered Dietitian

Jesse Clossey

Physician Assistant

NPI 1033637582
Dr. Gerard Van Houdt , MD

Emergency Medicine

NPI 1043251556

Doctor of Medicine (M.D.)

Hector Gutierrez , PA-C

Physician Assistant

NPI 1043256233

Physician Assistant (Certified)

Dallin Anderson

Physical Therapist

NPI 1083379515

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated May 01, 2025

Record deactivated on May 01, 2025

NPI Profile Active October 30, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2007

Registered at 520 N 4TH AVE, PASCO, WA 993015257 (Tel: 5095462318)

📍
Updated Business Mailing Address October 30, 2007

Registered at 1222 COUNTRY RIDGE DR, RICHLAND, WA 993527763 (Tel: 5096270953)

👤
Provider Name / Credentials Updated October 30, 2007

Recorded as ELENA ICAYAN, MD SCD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2007

Nuclear Medicine (License #MD00013006 in WA)

🟢
Initial NPI Registration & Enumeration September 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Elena Icayan. Be the first to share your experience!

Sign in to leave a review for Dr. Elena Icayan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1851386619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2005
Last Update: October 30, 2007
Deactivation Date: May 01, 2025

Mailing Address

1222 Country Ridge Dr

Richland, WA 993527763

Phone: 5096270953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.