NPIMap

Individual provider Active NPI

David W McEniry, M.D.

  • Infectious Disease Physician
  • Tacoma, WA
National Provider Identifier
1205924412
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD00025811 Issued in WA
Practice address
1624 South I Street
Suite 405
Tacoma, WA 98405-5094
Phone
(253) 428-8700
Fax
(253) 627-0714
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD00025811 WA Primary

Addresses

Primary practice location

1624 South I Street
Suite 405
Tacoma, WA 98405-5094

Mailing address

1624 South I Street
Suite 305
Tacoma, WA 98405-5093
Phone (253) 428-8700

Other identifiers 1

IdentifierTypeStateIssuer
WAM249MedicaidWA

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
I20100209000554 WA Practitioner - Internal MedicinePractitioner - Infectious Disease 3173418431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of Virginia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1450 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341

1624 S I St
Suite 204
Tacoma, WA 98405-5092
Phone (206) 965-4200

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Mar 16, 2020 Accepting new patients
Franciscan Medical Group CurrentSince Mar 16, 2020 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

1708 Yakima Ave
Ste 310
Tacoma, WA 98405
Phone (253) 207-4200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1624 S I St
Ste 405
Tacoma, WA 98405
Phone (253) 274-4545

Interoperability endpoints

  • Direct secure messaging: dmceniry17468@fhsce.catholichealth.net

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.

Hospital & facility affiliations 7

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1205924412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 SOUTH I STREET",
            "address_2": "SUITE 305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055093",
            "telephone_number": "253-428-8700",
            "fax_number": "253-383-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 SOUTH I STREET",
            "address_2": "SUITE 405",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055094",
            "telephone_number": "253-428-8700",
            "fax_number": "253-627-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENIRY",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "MD00025811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WAM249",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.