Individual provider Active NPI

Ross W Bethel, MD

  • Family Medicine Physician
  • Selah, WA
National Provider Identifier
1255352415
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00037875 Issued in WA
Practice address
620 N Park Drive
Selah, WA 98942-1326
Phone
(509) 697-5511
Fax
(509) 225-2707
NPI assigned
Jul 22, 2006
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 MD00037875 WA Primary

Addresses

Primary practice location

620 N Park Drive
Selah, WA 98942-1326

Mailing address

3800 Summitview Ave
Yakima, WA 98902-2715
Phone (509) 697-5511

Other practice location 1

1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520

Other identifiers 1

IdentifierTypeStateIssuer
1006026MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000336 WA Practitioner - Family Practice 0345382578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520

2600 Compass Rd
Glenview, IL 60026-8001

406 S 30TH Ave
Suite 101
Yakima, WA 98902-3713
Phone (509) 248-7715

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Jan 19, 2020 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 19, 2020 Accepting new patients
Community Health of Central Washington Family Medicine CurrentSince Nov 13, 2023 Accepting new patients
Community Health of Central Washington CurrentSince Nov 13, 2023 Accepting new patients
Community Health of Central Washington Family Medicine Past Accepting new patients
Yakima Valley Professional Services on Tieton, PC Past Accepting new patients
Yakima Valley Professional Services on Tieton, PC Past Accepting new patients

Locations

521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414

620 North Park Dr
Selah, WA 98942
Phone (509) 697-5511

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

3003 Tieton Dr
Ste 210
Yakima, WA 98902
Phone (509) 249-5180

311 S 72nd Ave
Yakima, WA 98908
Phone (509) 972-2028

402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263

402 S 12th Ave
Bsmt
Yakima, WA 98902

406 S 30th Ave
Ste 101
Yakima, WA 98902
Phone (509) 248-1175

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

Interoperability endpoints

  • Direct secure messaging: rbethel667309@direct.ochin.org

Organizations & group practices 8

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 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1255352415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022715",
            "telephone_number": "509-697-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N PARK DRIVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421326",
            "telephone_number": "509-697-5511",
            "fax_number": "509-225-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022473",
            "country_code": "US",
            "telephone_number": "509-452-4520",
            "fax_number": "509-452-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "ROSS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00037875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006026",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

Verify at the official NPI Registry.