Erenio Keoni Aledo Sr., MD
Individual provider Active NPI Family Medicine Physician · Pasco, WA
NPI 1275623795 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1275623795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD60225575 (WA)
- Practice address
- 515 W Court St
Pasco, WA 99301-3737 - Phone
- (509) 547-2204
- Fax
- (509) 542-8836
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-Cities Community Health
Practice addresses (Care Compare)
3180 W Clearwater Ave
Kennewick, WA 99336-2765
Phone (509) 547-2204
515 W Court St
Pasco, WA 99301-3737
Phone (509) 547-2204
Hospital & facility affiliations
- Kadlec Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111018000342 | WA | Practitioner - Family Practice | 5799717294 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 25804 | OR | MD | Family Medicine Physician |
| MD60225575 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Family Medicine | Current |
Accepting new patients |
| Multicare Health System | Current |
Accepting new patients | |
| Tri-Cities Community Health | Family Medicine | Current | Accepting new patients |
| Tri-Cities Community Health | Current |
Accepting new patients | |
| Artesia General Hospital | Past | Accepting new patients | |
| Joellen Wynne, FNP | Past | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
721 S Auburn St
Kennewick, WA 99336
Phone (509) 586-1157
3180 W Clearwater Ave
Ste A
Kennewick, WA 99336
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
515 W Court St
Pasco, WA 99301
Phone (509) 543-8520
829 Goethals Dr
Richland, WA 99352
Phone (509) 713-7331
915 Goethals Dr
Richland, WA 99352
Phone (509) 946-3700
Interoperability endpoints
- erenio.aledo.1@21034.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 25804 | OR | |
| Family Medicine Physician | 207Q00000X | MD60225575 | WA | Yes |
Addresses
Primary practice location
515 W Court St
Pasco, WA 99301-3737
Mailing address
515 W Court St
Pasco, WA 99301-3737
Phone (509) 547-2204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213505 | Medicaid | OR |
Other names
- Keoni Aledo
Other providers in Pasco, WA
- Dheeraj Ahuja
- David Ainscow
- Katherine Akers
- Idil Aksoz-Efe
- Megan Alcott
- Alex B Najera MD PS
- Ilene Alexander
- Alliance Women'S Health LLC
- Kerianne Frodsham Allsop
- Jill Henderson Allum
All providers in Pasco, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.