Individual provider Active NPI

Andreas Joseph Bitterlich, PA-C

  • Physician Assistant
  • Kennewick, WA
National Provider Identifier
1043561749
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60309659 Issued in WA
Practice address
7511 W Arrowhead Ave Ste G
Kennewick, WA 99336-1179
Phone
(509) 820-1267
Fax
(509) 396-7144
NPI assigned
Sep 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60309659 WA Primary

Addresses

Primary practice location

7511 W Arrowhead Ave Ste G
Kennewick, WA 99336-1179

Mailing address

7511 W Arrowhead Ave Ste G
Kennewick, WA 99336-1179
Phone (509) 420-5225

Other identifiers 1

IdentifierTypeStateIssuer
2022674MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121207000078 WA Practitioner - Physician Assistant 0749432201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
On Scene Medical Services, P.C. CurrentSince Nov 20, 2020 Accepting new patients
Frontline Medical, PLLC Current Accepting new patients
Northwest Physician Associates, Apc Past Accepting new patients

Locations

7511 W Arrowhead Ave
Ste G
Kennewick, WA 99336
Phone (509) 420-5225

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1043561749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 W ARROWHEAD AVE STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361179",
            "telephone_number": "509-420-5225",
            "fax_number": "509-396-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 W ARROWHEAD AVE STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361179",
            "telephone_number": "509-820-1267",
            "fax_number": "509-396-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTERLICH",
        "first_name": "ANDREAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60309659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022674",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.