NPIMap

Individual provider Active NPI

Ralph A. Monteagudo, DO

  • Family Medicine Physician
  • Wilbur, WA
National Provider Identifier
1194768283
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001334 Issued in WA
Practice address
214 SW Main St.
Wilbur, WA 99185-0582
Phone
(509) 647-5321
Fax
(509) 647-2238
NPI assigned
Jun 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001334 WA Primary

Addresses

Primary practice location

214 SW Main St.
Wilbur, WA 99185-0582

Mailing address

100 3Rd St
Ste 1
Davenport, WA 99122-5008
Phone (509) 725-7501

Other identifiers 6

IdentifierTypeStateIssuer
P00229831OtherWAMEDICARE RAILROAD
7101132MedicaidWA
7117450MedicaidWA
CJ6525OtherWAMEDICARE RAILROAD
199002OtherWADEPT. OF L & I
8132342MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220405001728 NC Practitioner - Family Practice 3375582281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1821 Hillandale Rd
Durham, NC 27705-2671

4220 N Roxboro St
Durham, NC 27704-1826
Phone (919) 471-1518

5102 N Roxboro St
Durham, NC 27704-1420
Phone (919) 471-1518

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. CurrentSince Mar 7, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Mar 7, 2022 Accepting new patients
Lincoln County Hospital District 3 Past Accepting new patients
Lincoln County Hospital District #3 / North Basin Medical Clinics Family Medicine Past Accepting new patients
Lincoln County Hospital District 3 Past Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Lincoln County Hospital District 3 Family Medicine Past Accepting new patients
Lincoln County Hospital District 3 Family Medicine Past Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

4220 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

5102 N Roxboro St
Durham, NC 27704
Phone (919) 613-3115

Interoperability endpoints

  • Direct secure messaging: rmonteagudo506490@direct.medicine.duke.edu

Organizations & group practices 11

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 9

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194768283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD ST",
            "address_2": "STE 1",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991225008",
            "telephone_number": "509-725-7501",
            "fax_number": "509-725-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SW MAIN ST.",
            "city": "WILBUR",
            "state": "WA",
            "postal_code": "991850582",
            "telephone_number": "509-647-5321",
            "fax_number": "509-647-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEAGUDO",
        "first_name": "RALPH",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00229831",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101132",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7117450",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ6525",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L & I",
            "identifier": "199002",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8132342",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbur, WA

Sources for this page

Verify at the official NPI Registry.