Individual provider Active NPI

Daniel Muro

  • Physician Assistant
  • Olympia, WA
National Provider Identifier
1346850070
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61356753 Issued in WA
Practice address
1318 Neil St NE
Olympia, WA 98516-5532
Phone
(915) 540-6692
NPI assigned
Aug 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61356753 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1318 Neil St NE
Olympia, WA 98516-5532

Mailing address

1318 Neil St NE
Olympia, WA 98516-5532
Phone (915) 540-6692

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102000576 WA Practitioner - Physician Assistant 9133596208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainier Internal Medicine LLCGroup PAC ID 7911049242, 8 clinicians

Practice addresses (Care Compare)

3800 3Rd St SE
Puyallup, WA 98374-1109
Phone (253) 200-0415

9720 S Tacoma Way
Lakewood, WA 98499-4456
Phone (253) 503-3666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61356753WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Internal Medicine LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmuro504204@direct.multicare.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1346850070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 NEIL ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165532",
            "telephone_number": "915-540-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 NEIL ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165532",
            "telephone_number": "915-540-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURO",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2023-03-17",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61356753",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.