Individual provider Active NPI

Xiomara Munoz, DO

  • Family Medicine Physician
  • Bothell, WA
National Provider Identifier
1255429817
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001958 Issued in WA
Practice address
10414 Beardslee Blvd Ste 100
Bothell, WA 98011-3205
Phone
(425) 486-0658
Fax
(425) 487-6761
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 OP00001958 WA Primary

Addresses

Primary practice location

10414 Beardslee Blvd Ste 100
Bothell, WA 98011-3205

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

4111 194th St SW
Lynnwood, WA 98036-4604
Phone (425) 775-2589

Other identifiers 3

IdentifierTypeStateIssuer
8940550OtherWACRIME VICTIMS
8445371MedicaidWA
204686OtherWAWORKERS COMPENSATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xmunoz20049@healthpoint.direct-ci.com

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
I20060127000145 WA Practitioner - Family Practice 7416961586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointGroup PAC ID 9335042886, 175 clinicians

Practice addresses (Care Compare)

10414 Beardslee Blvd
Suite 100
Bothell, WA 98011-3205
Phone (425) 486-0658

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP00001958WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Medicine CurrentSince Aug 4, 2007 Accepting new patients
Healthpoint CurrentSince Aug 4, 2007 Accepting new patients
Healthpoint Family Medicine Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

400 S 2nd St
Renton, WA 98057
Phone (425) 204-3400

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

Interoperability endpoints

  • Direct secure messaging: xmunoz20049@healthpoint.direct-ci.com
  • Direct secure messaging: xiomara.munoz.p3@direct.hpc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1255429817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 BEARDSLEE BLVD STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113205",
            "telephone_number": "425-486-0658",
            "fax_number": "425-487-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 194th St SW",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364604",
            "country_code": "US",
            "telephone_number": "425-775-2589",
            "fax_number": "425-775-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "XIOMARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8940550",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8445371",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "204686",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xmunoz20049@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "10414 Beardslee Blvd Ste 100",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980113205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.