Active NPI
Yuriy Nesteruk, MD
- Student in an Organized Health Care Education/Training Program
- Spokane, WA
National Provider Identifier
1124887203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 624 E Front Ave
Spokane, WA 99202-2139 - Phone
- (509) 626-9900
- Fax
- (509) 626-9917
- NPI assigned
- Mar 19, 2024
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MDRE.ML.70136243 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
624 E Front Ave
Spokane, WA 99202-2139
Mailing address
624 E Front Ave
Spokane, WA 99202-2139
Phone (509) 626-9900
Other practice location 1
107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240930003270 | NV | Order and Referring Only - Psychiatry | 7113458290 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ynesteruk204965@direct.renown.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1124887203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 E FRONT AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022139",
"telephone_number": "509-626-9900",
"fax_number": "509-626-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E FRONT AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022139",
"telephone_number": "509-626-9900",
"fax_number": "509-626-9917"
}
],
"practiceLocations": [
{
"address_1": "107 S Division St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992021510",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NESTERUK",
"first_name": "YURIY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-19",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MDRE.ML.70136243",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.