Active NPI
John Patrick Maxwell, MD
- Internal Medicine Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60394996
- Practice address
- 2811 Tieton Drive
Mips Office
Yakima, WA 98902 - Phone
- (509) 575-8000
- Fax
- (509) 249-5377
- NPI assigned
- Mar 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60394996 | WA | Primary |
Addresses
Primary practice location
2811 Tieton Drive
Mips Office
Yakima, WA 98902
Mailing address
2811 Tieton Drive
Mips Office
Yakima, WA 98902
Phone (509) 575-8000
Other practice location 1
747 Broadway
Swedish Hospital Medicine
Seattle, WA 98122-4379
Phone (206) 386-6000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000
Hospital & facility affiliations
- Yakima Valley Memorial
- Kittitas Valley Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Hospital Association | Past | Accepting new patients |
Locations
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
2811 Tieton Dr
Ofc
Yakima, WA 98902
Phone (509) 575-8000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265731988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 TIETON DRIVE",
"address_2": "MIPS OFFICE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-575-8000",
"fax_number": "509-249-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 TIETON DRIVE",
"address_2": "MIPS OFFICE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-575-8000",
"fax_number": "509-249-5377"
}
],
"practiceLocations": [
{
"address_1": "747 Broadway",
"address_2": "Swedish Hospital Medicine",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981224379",
"country_code": "US",
"telephone_number": "206-386-6000",
"fax_number": "206-215-6364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXWELL",
"first_name": "JOHN",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60394996",
"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 17, 2018; 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.