Individual provider Active NPI

Hanafy M Hanafy, M.D.

  • Surgery Physician
  • Auburn, WA
National Provider Identifier
1093886244
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00047459 Issued in WA
Practice address
121 N Division St Ste 202
Auburn, WA 98001-4931
Phone
(253) 545-5990
NPI assigned
Nov 10, 2006
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00047459 WA Primary

Addresses

Primary practice location

121 N Division St Ste 202
Auburn, WA 98001-4931

Mailing address

P.O. Box 5299
Ms: 737-3-Pcon
Tacoma, WA 98415-0299

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000271 WA Practitioner - General SurgeryPractitioner - Other (Physician) 5597657585 Reassigns benefits to 2 organizations
Practice locations: Kent, WA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 S Chestnut St
Suite a
Ellensburg, WA 98926-4815
Phone (509) 962-7390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43213GAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 18, 2015 Accepting new patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Multicare Health System CurrentSince May 18, 2015 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Jul 14, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Jul 14, 2022 Accepting new patients
Barigens Clinic PLLC Surgery PastSince Jan 1, 1990 Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Kittitas County Public Hospital Dist 1 Past Accepting new patients

Locations

121 N Division St
Ste 202
Auburn, WA 98001
Phone (253) 545-5990

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

611 S Chestnut St
Ste A
Ellensburg, WA 98926
Phone (509) 933-7575

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: hhanafy108965@direct.multicare.org

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1093886244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5299",
            "address_2": "MS: 737-3-PCON",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N DIVISION ST STE 202",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014931",
            "telephone_number": "253-545-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAFY",
        "first_name": "HANAFY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00047459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.