NPIMap

Individual provider Active NPI

Jacob Gorbaty, M.D.

  • Orthopaedic Surgery Physician
  • Lakewood, WA
National Provider Identifier
1356705669
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD61266815 Issued in WA
Practice address
11307 Bridgeport Way SW Ste 220a
Lakewood, WA 98499-3024
Phone
(253) 985-6675
Fax
(253) 985-6678
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 218845 NC
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD61266815 WA
Orthopaedic Surgery Physician 207X00000X MD61266815 WA Primary

Addresses

Primary practice location

11307 Bridgeport Way SW Ste 220a
Lakewood, WA 98499-3024

Mailing address

11307 Bridgeport Way SW Ste 220a
Lakewood, WA 98499-3024
Phone (253) 985-6675

Other practice location 1

1500 Continental Pl
Mount Vernon, WA 98273-4105
Phone (360) 424-7041

Other practice location 2

1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-7041

Other practice location 3

1017 20th St
Anacortes, WA 98221-2505
Phone (360) 424-7041

Other practice location 4

2720 Commercial Ave
Anacortes, WA 98221-2734
Phone (360) 424-7041

Other identifiers 1

IdentifierTypeStateIssuer
2207992MedicaidWA

Other names 1

  • Jacob D Gorbaty Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group
Direct Messaging Address jgorbaty889728@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912000536 WA Practitioner - Orthopedic Surgery 7416348875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

11307 Bridgeport Way SW
Suite 220a
Lakewood, WA 98499-3024
Phone (253) 985-2733

Hospital & facility affiliations

  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)29
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218845NCMDOrthopaedic Surgery Physician
MD61266815WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
Franciscan Medical Group Orthopaedic Surgery CurrentSince Jan 6, 2025 Accepting new patients
Franciscan Medical Group Orthopaedic Surgery CurrentSince Jan 6, 2025 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery Current Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Sep 1, 2022 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

1017 20th St
Anacortes, WA 98221
Phone (360) 424-7041

2720 Commercial Ave
Anacortes, WA 98221
Phone (360) 299-1300

11307 Bridgeport Way SW
Ste 220A
Lakewood, WA 98499
Phone (253) 985-2733

1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400

1500 Continental Pl
Mount Vernon, WA 98273
Phone (360) 424-7041

15214 Canyon Rd E
Ste 205
Puyallup, WA 98375
Phone (253) 539-4200

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: jgorbaty889728@fhsce.catholichealth.net
  • Direct secure messaging: jacob.gorbaty.p15@direct.proliance.nextgenshare.com

Organizations & group practices 6

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 8

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1356705669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 BRIDGEPORT WAY SW STE 220A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993024",
            "telephone_number": "253-985-6675",
            "fax_number": "253-985-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 BRIDGEPORT WAY SW STE 220A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993024",
            "telephone_number": "253-985-6675",
            "fax_number": "253-985-6678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Continental Pl",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982734105",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Laventure Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982746033",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 20th St",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212505",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212734",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORBATY",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "218845",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WA",
            "license": "MD61266815",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD61266815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207992",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgorbaty889728@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11307 Bridgeport Way SW Ste 220A",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACOB",
            "last_name": "GORBATY",
            "middle_name": "D",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.