Individual provider Active NPI

Ival L Salyer, MD

  • Family Medicine Physician
  • Snohomish, WA
National Provider Identifier
1427079557
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00016740 Issued in WA
Practice address
629 Avenue D
Snohomish, WA 98290-2330
Phone
(360) 568-1554
Fax
(360) 568-1722
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 MD00016740 WA Primary

Addresses

Primary practice location

629 Avenue D
Snohomish, WA 98290-2330

Mailing address

629 Avenue D
Snohomish, WA 98290-2330
Phone (360) 568-1554

Other practice location 1

9710 State Ave
Marysville, WA 98270-2232
Phone (360) 653-1742

Other identifiers 2

IdentifierTypeStateIssuer
080172062OtherWAMEDICARE RAILROAD
8250508MedicaidWA

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
I20050311000714 WA Practitioner - Family Practice 3971557935 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Apr 10, 2025 Accepting new patients
Virginia Mason Medical Center Family Medicine CurrentSince Jun 13, 2019 Accepting new patients
Sea Mar Community Health Centers CurrentSince Apr 10, 2025 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center CurrentSince Jun 13, 2019 Accepting new patients

Locations

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

7315 212th St SW
Ste 101
Edmonds, WA 98026
Phone (425) 670-3550

9710 State Ave
Marysville, WA 98270
Phone (360) 653-1742

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1427079557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902330",
            "telephone_number": "360-568-1554",
            "fax_number": "360-568-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902330",
            "telephone_number": "360-568-1554",
            "fax_number": "360-568-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9710 State Ave",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982702232",
            "country_code": "US",
            "telephone_number": "360-653-1742",
            "fax_number": "360-512-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALYER",
        "first_name": "IVAL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00016740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080172062",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8250508",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

Verify at the official NPI Registry.