Active NPI
Sydney T. De Cejka, PA
- Physician Assistant
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60943884
- Practice address
- 4804 W Clearwater Ave
Kennewick, WA 99336-2119 - Phone
- (509) 942-2355
- Fax
- (509) 222-1289
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60943884 | WA | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
4804 W Clearwater Ave
Kennewick, WA 99336-2119
Mailing address
4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone (509) 942-2355
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300
Hospital & facility affiliations
- Kadlec Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60943884 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients |
Locations
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
550 Gage Blvd
Ste 101
Richland, WA 99352
Organizations & group practices 4
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
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
-
- Plastic Surgery Physician
- Richland, WA
- NPI 1235471954
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1467910265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362119",
"telephone_number": "509-942-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4804 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362119",
"telephone_number": "509-942-2355",
"fax_number": "509-222-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CEJKA",
"first_name": "SYDNEY",
"middle_name": "T.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60943884",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.