Henry Mroch, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD00033309 Issued in WA

Practice address

105 W 8TH Ave
Suite 7060
Spokane, WA 99204-2302

Phone

(509) 340-0930

Fax

(509) 747-2054

NPI assigned

Oct 3, 2006

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nephrology

Education

University of California, Irvine, California College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Health and Services WashingtonGroup PAC ID 0345139929, 778 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Spokane Kidney Center Dialysis facility, Spokane, WA, CCN 502527
• Panorama Dialysis Dialysis facility, Deer Park, WA, CCN 502567
• DaVita Moscow Dialysis Dialysis facility, Moscow, ID, CCN 132521
• FMC Valley Dialysis Unit Dialysis facility, Spokane, WA, CCN 502535
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
• Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
• Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Providence Health & Services Washington

  dba Providence Medical Group

  • Pulmonary Disease Physician
  • Spokane, WA
  • NPI 1194099390

  ID

  Medicare reassignment Care Compare group NPD
• Providence Health & Services Washington

  dba Providence North East Washington Medical Group

  • Family Medicine Physician
  • Colville, WA
  • NPI 1083968879
  NPD
• Providence Health & Services - Washington

  dba Providence St. Peter Chemical Dependency Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Hoquiam, WA
  • NPI 1043374119
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inland Northwest Renal Care Group, LLC

  dba Spokane Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Spokane, WA
  • NPI 1417059684

  Dialysis facility

  Care Compare affiliation Name & address match
• Inland Northwest Renal Care Group, LLC

  dba Panorama Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Deer Park, WA
  • NPI 1841574746

  Dialysis facility

  Care Compare affiliation Name & address match
• Inland Northwest Renal Care Group, LLC

  dba North Pines Dialysis Clinic

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Spokane Valley, WA
  • NPI 1972615870

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  dba Moscow Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Moscow, ID
  • NPI 1225265606

  Dialysis facility

  Care Compare affiliation Name & address match
• Providence Health & Services - Wa

  dba Prov Scred Hrt Med Ctr & Chlds Hos

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation
• Providence Health & Services - Washington

  dba Providence Mount Carmel Hospital

  • Critical Access Hospital
  • Colville, WA
  • NPI 1003067679
  Care Compare affiliation
• Providence Health & Services - Washington

  dba Providence Holy Family Hospital

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1225289895
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1245324219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 7060",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-340-0930",
            "fax_number": "509-747-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROCH",
        "first_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00033309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8227878",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0241853",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmroch220638@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 W 8th Ave",
            "address_2": "Suite 7060",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Movradinov
• Christopher Allen Mowery, RN
• Darcy J Moyer, RN
• Samantha J Moyer, MS
• Nathan M Mraz, MSW
• Mt. Spokane Pediatrics, PLLC (Mt. Spokane Pediatrics)
• Anna Mucker, PHARM.D.,CACP
• James Otis Mudd, M.D.
• Shaylee Rayann Mudd
• Gerhard H Muelheims, MD, FACC

• Nephrology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.