Organization Active NPI

Dithi a. Shetty PC

  • Infectious Disease Physician
  • Yakima, WA
National Provider Identifier
1215178108
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
60028019 Issued in WA
Legal business name
DITHI A. SHETTY PC
Practice address
4811 Snowmountain Rd
Yakima, WA 98908-2848
Phone
(631) 271-9151
Fax
(631) 271-9155
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Dithi A Shetty, M.D.NPI 1427037357
Title
Owner
Phone
(631) 271-9151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 60028019 WA Primary

Addresses

Primary practice location

4811 Snowmountain Rd
Yakima, WA 98908-2848

Mailing address

4811 Snowmountain Rd
Yakima, WA 98908-2848
Phone (631) 271-9151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NY, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090423000458 WA Part B Supplier - Clinic/Group Practice 3072661420 Receives reassigned benefits from 1 practitioner
Practice locations: Yakima, WA; Toppenish, WA; Sunnyside, WA; Wapato, WA
O20241030001946 NY Part B Supplier - Clinic/Group Practice 3072661420 Receives reassigned benefits from 1 practitioner
Practice locations: Syosset, NY; Plainview, NY; New Hyde Park, NY; Huntington, NY; Forest Hills, NY
O20250116000408 CO Part B Supplier - Clinic/Group Practice 3072661420 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1215178108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 SNOWMOUNTAIN RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082848",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 SNOWMOUNTAIN RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082848",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITHI A. SHETTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "DITHI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-9151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "60028019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.