Active NPI
Tony E Yusuf, M.D.
- Gastroenterology Physician
- Moses Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD61175547
- Practice address
- 840 E Hill Ave
Moses Lake, WA 98837-2238 - Phone
- (509) 663-8711
- NPI assigned
- Jul 31, 2006
- Last updated
- Apr 14, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 14186911-1235 | UT | |
| Gastroenterology Physician | 207RG0100X | 46158 | MN | |
| Gastroenterology Physician | 207RG0100X | MD61175547 | WA | Primary |
Addresses
Primary practice location
840 E Hill Ave
Moses Lake, WA 98837-2238
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other practice location 1
3590 W 9000 S
West Jordan, UT 84088-8857
Phone (801) 208-1075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182338701 | Medicaid | TX | |
| 8F6661 | Other | TX | BCBS |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | tyusuf81271@edirect.chehr.org | ||
| Direct Messaging Address | tyusuf81271@edirect.chehr.org | ||
| Direct Messaging Address | tyusuf81271@edirect.chehr.org | ||
| FHIR URL | tyusuf81271@edirect.chehr.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, HI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41479 | TX | MD | Ambulatory Care Pharmacist |
| MD61175547 | WA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Starks Medical | Past | Accepting new patients | |
| Physician Group of Utah Inc | Past | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
700 Olympic Plaza Cir
Ste 410
Tyler, TX 75701
Phone (903) 531-8950
Interoperability endpoints
- tyusuf840275@ahs.direct-ci.com
- tyusuf@yourcarecommunity.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
dba Mayo Clinic Health System-Waseca
- Multi-Specialty Clinic/Center
- Waseca, MN
- NPI 1518494251
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Primary Care Nurse Practitioner
- Bullard, TX
- NPI 1306570593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1366458309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 E HILL AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372238",
"telephone_number": "509-663-8711"
}
],
"practiceLocations": [
{
"address_1": "3590 W 9000 S",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840888857",
"country_code": "US",
"telephone_number": "801-208-1075",
"fax_number": "801-351-6735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUSUF",
"first_name": "TONY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "UT",
"license": "14186911-1235",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "46158",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD61175547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182338701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8F6661",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "tyusuf81271@edirect.chehr.org",
"affiliation": "N",
"address_1": "840 E Hill Ave",
"city": "Moses Lake",
"state": "WA",
"country_code": "US",
"postal_code": "988372238",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tyusuf81271@edirect.chehr.org",
"affiliation": "N",
"address_1": "840 E Hill Ave",
"city": "Moses Lake",
"state": "WA",
"country_code": "US",
"postal_code": "988372238",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tyusuf81271@edirect.chehr.org",
"affiliation": "N",
"address_1": "840 E Hill Ave",
"city": "Moses Lake",
"state": "WA",
"country_code": "US",
"postal_code": "988372238",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "tyusuf81271@edirect.chehr.org",
"affiliation": "N",
"address_1": "840 E Hill Ave",
"city": "Moses Lake",
"state": "WA",
"country_code": "US",
"postal_code": "988372238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.