Individual provider Active NPI

Jakdej Nikomborirak, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Sunnyside, WA
National Provider Identifier
1477542447
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD00036445 Issued in WA
Practice address
1013 E Edison Ave
Sunnyside, WA 98944-1115
Phone
(509) 837-1587
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD00036445 WA Primary
Pulmonary Disease Physician 207RP1001X MD00036445 WA

Addresses

Primary practice location

1013 E Edison Ave
Sunnyside, WA 98944-1115

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other practice location 2

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

Other practice location 3

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 379-2249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041227000267 WA Practitioner - Sleep MedicinePractitioner - Pulmonary Disease 8527051879 Reassigns benefits to 15 organizations
I20201231001072 OR Practitioner - Sleep Medicine 8527051879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis County Hospital District No 1 27 clinicians
Grays Harbor County Public Hospital District No 1 62 clinicians
Jefferson County Public Hospital District No 2 151 clinicians

Practice addresses (Care Compare)

521 Adams Ave
Morton, WA 98356-9323

531 Adams Ave
Morton, WA 98356-9323

579 E Main St
Elma, WA 98541-9551
Phone (360) 346-2222

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

610 E Main St
Elma, WA 98541-9353
Phone (360) 346-2222

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Hospital & facility affiliations

  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304
  • North Valley Hospital Hospital, Tonasket, WA, CCN 501321
  • Arbor Health Morton Hospital Hospital, Morton, WA, CCN 501319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00036445WAMDPulmonary Disease Physician
MD00036455WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Whidbey Island Public Hospital District Sleep Medicine CurrentSince Jul 1, 2005 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jul 1, 2005 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince May 1, 2016 Accepting new patients
Lewis County Hospital District No 1 CurrentSince May 1, 2017 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Dec 1, 2014 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince May 1, 2017 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Nov 17, 2016 Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Aug 1, 2021 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Dec 1, 2014 Accepting new patients
Good Shepherd Health Care System CurrentSince Dec 9, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince May 1, 2017 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Aug 1, 2021 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Lincoln County Public Hospital District 1 CurrentSince Aug 1, 2025 Accepting new patients
Lincoln County Public Hospital District 1 Current Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Aug 1, 2021 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince May 1, 2016 Accepting new patients
Lincoln County Public Hospital District 1 CurrentSince Aug 1, 2025 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients
Whidbey Island Public Hospital District Past Accepting new patients

Locations

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

105 W Simpson Ave
McCleary, WA 98557
Phone (360) 346-2222

1300 NE Goldie St
Oak Harbor, WA 98277
Phone (360) 240-4070

1300 NE Goldie St
Slp Care
Oak Harbor, WA 98277
Phone (360) 240-4082

1617 Main St
Oroville, WA 98844
Phone (509) 476-3631

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933

2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Interoperability endpoints

  • Direct secure messaging: jnikomborirak308684@wm.providencedirect.org

Organizations & group practices 41

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.

View all 41

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1477542447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441115",
            "telephone_number": "509-837-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Main St",
            "address_purpose": "LOCATION",
            "city": "Elma",
            "state": "WA",
            "postal_code": "985419560",
            "country_code": "US",
            "telephone_number": "360-346-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682443",
            "country_code": "US",
            "telephone_number": "360-379-2249",
            "fax_number": "360-379-2298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOMBORIRAK",
        "first_name": "JAKDEJ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00036445",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD00036445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.