Active NPI
Efren Rebusit Caratao Jr., M.D.
- General Practice Physician
- Kent, WA
National Provider Identifier
1366502601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00028063
- Practice address
- 10413 SE 244TH St
Kent, WA 98030-4961 - Phone
- (253) 852-2770
- Fax
- (253) 852-6770
- NPI assigned
- Dec 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD00028063 | WA | Primary |
Addresses
Primary practice location
10413 SE 244TH St
Kent, WA 98030-4961
Mailing address
10413 SE 244TH St
Kent, WA 98030-4961
Phone (253) 852-2770
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10413 SE 244TH St
Kent, WA 98030-4961
Phone (253) 852-2770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028063 | WA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easthill Medical Clinic LLC | Current | Accepting new patients | |
| East Hill Medical Clinic | General Practice | Past | Accepting new patients |
Locations
10413 SE 244th St
Kent, WA 98030
Phone (253) 852-2770
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.
-
- Primary Care Clinic/Center
- Kent, WA
- NPI 1245630979
-
- General Practice Physician
- Kent, WA
- NPI 1447398821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1366502601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10413 SE 244TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980304961",
"telephone_number": "253-852-2770",
"fax_number": "253-852-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10413 SE 244TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980304961",
"telephone_number": "253-852-2770",
"fax_number": "253-852-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARATAO",
"first_name": "EFREN",
"middle_name": "REBUSIT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MD00028063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.