Individual provider Active NPI

Kyle Rowley Terry, M.D.

  • Family Medicine Physician
  • Waitsburg, WA
National Provider Identifier
1316913221
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60153761 Issued in WA
Practice address
235 Main St
Waitsburg, WA 99361-9734
Phone
(509) 337-6311
Fax
(509) 337-6011
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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 MD60153761 WA Primary

Addresses

Primary practice location

235 Main St
Waitsburg, WA 99361-9734

Mailing address

PO Box 247
Waitsburg, WA 99361-0247
Phone (509) 337-6311

Other identifiers 1

IdentifierTypeStateIssuer
00G553020MedicaidCA

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
I20130605000354 WA Practitioner - Family Practice 6103883392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1012 S 3Rd St
Dayton, WA 99328-1606
Phone (509) 382-2531

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Columbia County Hospital District CurrentSince Apr 1, 2013 Accepting new patients
Columbia County Hospital District CurrentSince Apr 1, 2013 Accepting new patients

Locations

295 S College Ave
#1
College Place, WA 99324
Phone (509) 382-2531

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

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.

Hospital & facility affiliations 2

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1316913221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "WAITSBURG",
            "state": "WA",
            "postal_code": "993610247",
            "telephone_number": "509-337-6311",
            "fax_number": "509-337-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "WAITSBURG",
            "state": "WA",
            "postal_code": "993619734",
            "telephone_number": "509-337-6311",
            "fax_number": "509-337-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "KYLE",
        "middle_name": "ROWLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60153761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G553020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waitsburg, WA

Sources for this page

Verify at the official NPI Registry.