Active NPI
Joshua B. Penrod, DO
- Family Medicine Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61285676
- Practice address
- 560 Gage Blvd Ste 101&206
Richland, WA 99352-8650 - Phone
- (509) 942-3286
- Fax
- (509) 628-1354
- NPI assigned
- May 13, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61285676 | WA | Primary |
Addresses
Primary practice location
560 Gage Blvd Ste 101&206
Richland, WA 99352-8650
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627
Other practice location 1
11937 US Hwy 271
Attn: Kate Wells
Tyler, TX 75708
Phone (903) 877-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kate.wells@uthct.edu | Direct |
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
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
560 Gage Blvd
Suite 101And206
Richland, WA 99352-8650
Phone (509) 942-3286
Hospital & facility affiliations
- Tri-Cities Home Health
- Kadlec Regional Medical Center
- Trios Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61285676 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients |
Locations
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
550 Gage Blvd
Ste 101
Richland, WA 99352
560 Gage Blvd
Ste 101
Richland, WA 99352
Phone (509) 628-2843
560 Gage Blvd
Ste 101206
Richland, WA 99352
Phone (509) 942-3286
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
Interoperability endpoints
- jpenrod2415750@wm.providencedirect.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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
-
- Home Health Agency
- Kennewick, WA
- NPI 1679547244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1396301701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-942-3627",
"fax_number": "509-627-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 GAGE BLVD STE 101&206",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528650",
"telephone_number": "509-942-3286",
"fax_number": "509-628-1354"
}
],
"practiceLocations": [
{
"address_1": "11937 US Hwy 271",
"address_2": "Attn: Kate Wells",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "75708",
"country_code": "US",
"telephone_number": "903-877-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENROD",
"first_name": "JOSHUA",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-13",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61285676",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kate.wells@uthct.edu",
"affiliation": "N",
"endpointDescription": "Institutional Coordinator",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Coordinator",
"address_1": "11937 US Hwy 271",
"address_2": "Attn: Kate Wells",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "75708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.