Individual provider Active NPI

Rowena Lily Bel P Reyrao, MD

  • Family Medicine Physician
  • Auburn, WA
National Provider Identifier
1376566794
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00039077 Issued in WA
Practice address
735 12TH St SE
Auburn, WA 98002-6709
Phone
(253) 876-7990
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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 MD00039077 WA Primary

Addresses

Primary practice location

735 12TH St SE
Auburn, WA 98002-6709

Mailing address

PO Box 5299
Tacoma, WA 98415-0299
Phone (253) 876-7966

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
I20100520000868 WA Practitioner - Family Practice 5991834475 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Aug 1, 2000 Accepting new patients
Fremont Family Practice LLC Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Overlake Medical Clinics LLC CurrentSince Jul 18, 2016 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Jul 18, 2016 Accepting new patients
600 Stewart Medical Group, P.C. CurrentSince Jun 30, 2022 Accepting new patients
Multicare Health System Family Medicine CurrentSince Aug 1, 2000 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Locations

735 12th St SE
Auburn, WA 98002
Phone (253) 867-7990

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

35105 Enchanted Pkwy S
Ste G101
Federal Way, WA 98003

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

710 N 10th St
#304
Renton, WA 98057

6804 Greenwood Ave N
Seattle, WA 98103
Phone (206) 257-7780

520 Denny Way
Seattle, WA 98109

600 Stewart St
Ste 800
Seattle, WA 98101
Phone (206) 690-5962

4464 Fremont Ave N
Ste 103
Seattle, WA 98103
Phone (206) 267-7300

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

2706 W Nob Hill Blvd
Ste 100
Yakima, WA 98902
Phone (206) 848-7500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1376566794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299",
            "telephone_number": "253-876-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 12TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026709",
            "telephone_number": "253-876-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYRAO",
        "first_name": "ROWENA",
        "middle_name": "LILY BEL P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00039077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.