NPIMap

Organization Active NPI

Kittitas County Public Hosp Dist 1

Doing business as KVH Urology

  • Urology Physician
  • Ellensburg, WA
National Provider Identifier
1437029832
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
KITTITAS COUNTY PUBLIC HOSP DIST 1
Doing business as
KVH Urology
Practice address
611 S Chestnut St Ste C
Ellensburg, WA 98926-4815
Phone
(509) 962-9841
Fax
(509) 825-8472
NPI assigned
Nov 10, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KITTITAS COUNTY PUBLIC HOSP DIST 1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Michelle Gott
Title
Director Revenue Cycle Operations
Phone
(509) 962-7424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

611 S Chestnut St Ste C
Ellensburg, WA 98926-4815

Mailing address

PO Box 799
Ellensburg, WA 98926-1921
Phone (509) 962-9841

Other names 1

  • KVH Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040213000046 WA Part B Supplier - Clinic/Group Practice 0547179608 Receives reassigned benefits from 176 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ellensburg, WA; Cle Elum, WA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kittitas County Public Hospital Dist 116 organizations share this tax ID, including this one
Part of
Kittitas County Public Hospital Dist 1

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

110 S Oakes Ave
Ste 210
Cle Elum, WA 98922
Phone (509) 962-7424

401 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 852-4020

401 E Mountain View Ave
Ste 3
Ellensburg, WA 98926
Phone (509) 962-7438

611 S Chestnut St
Ste A
Ellensburg, WA 98926
Phone (509) 933-7575

611 S Chestnut St
Ste B
Ellensburg, WA 98926
Phone (509) 962-5000

611 S Chestnut St
Ste E
Ellensburg, WA 98926
Phone (509) 962-5437

716 E Manitoba Ave
Ellensburg, WA 98926
Phone (509) 925-3151

Practitioners & affiliated clinicians

Practitioners 177

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 177

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1437029832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989261921",
            "telephone_number": "509-962-9841",
            "fax_number": "509-925-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CHESTNUT ST STE C",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989264815",
            "telephone_number": "509-962-9841",
            "fax_number": "509-825-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTITAS COUNTY PUBLIC HOSP DIST 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KITTITAS COUNTY PUBLIC HOSP DIST 1",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "GOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "509-962-7424"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KVH Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.