NPIMap

Individual provider Active NPI

Emitis K Hosoda, M.D.

  • Specialist
  • Enumclaw, WA
National Provider Identifier
1104994250
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD000040765 Issued in WA
Practice address
1427 Jefferson Ave
Suite # 102
Enumclaw, WA 98022-3649
Phone
(360) 802-0803
Fax
(360) 802-0806
NPI assigned
Nov 30, 2006
Last updated
Aug 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD000040765 WA Primary

Addresses

Primary practice location

1427 Jefferson Ave
Suite # 102
Enumclaw, WA 98022-3649

Mailing address

1427 Jefferson Ave
Suite # 102
Enumclaw, WA 98022-3649
Phone (360) 802-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618001349 WA Practitioner - Internal MedicinePractitioner - Hospitalist 3072400530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1427 Jefferson Ave
Suite 202
Enumclaw, WA 98022-3649
Phone (360) 226-3672

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD000040765WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Current Accepting new patients
Multicare Health System CurrentSince May 5, 2013 Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Jun 15, 2016 Accepting new patients
Multicare Health System CurrentSince May 5, 2013 Accepting new patients
Multicare Health System Current Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Jun 15, 2016 Accepting new patients
Tanya Wilke Family Medicine Past Accepting new patients
Stewards Inpatient Services LLC Past Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

202 N Division St
Stop 202C3MIS
Auburn, WA 98001

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

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

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

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: ehosoda120152@direct.multicare.org
  • Direct secure messaging: emitis.hosoda.1@28253.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10664/brand/1/csg/1/fhir/r4

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 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1104994250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE # 102",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-802-0803",
            "fax_number": "360-802-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE # 102",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-802-0803",
            "fax_number": "360-802-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSODA",
        "first_name": "EMITIS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD000040765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

Verify at the official NPI Registry.