Active NPI
Wyatt Harlan Rivas, M.D.
- Emergency Medicine Physician
- Yakima, WA
National Provider Identifier
1083889737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD60215678
- Practice address
- 2811 Tieton Dr
Yakima, WA 98902-3761 - Phone
- (509) 575-8000
- Fax
- (509) 575-8745
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD60215678 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2811 Tieton Dr
Yakima, WA 98902-3761
Mailing address
PO Box 9787
Yakima, WA 98909-0787
Phone (509) 575-8255
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Utah School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Public Hospital District No. 2, Klickitat County, Washington
Practice addresses (Care Compare)
211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101
Hospital & facility affiliations
- Skyline Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60215678 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 2, Klickitat County Washington | Current | Accepting new patients | |
| Public Hospital District No. 2, Klickitat County, Washington | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County, Washington | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Past | Accepting new patients |
Locations
212 NE Skyline Dr
White Salmon, WA 98672
Phone (509) 493-2133
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
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.
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1952483653
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
-
- Rural Health Clinic/Center
- White Salmon, WA
- NPI 1467961250
-
- Multi-Specialty Clinic/Center
- Yakima, WA
- NPI 1154930543
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1083889737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9787",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989090787",
"telephone_number": "509-575-8255",
"fax_number": "509-225-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 TIETON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023761",
"telephone_number": "509-575-8000",
"fax_number": "509-575-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "WYATT",
"middle_name": "HARLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60215678",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.