Active NPI
Jakdej Nikomborirak, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Sunnyside, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- MD00036445
- 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
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 |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041227000267 | WA | Practitioner - Sleep Medicine | 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 1Grays Harbor County Public Hospital District No 1Jefferson County Public Hospital District No 2
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
- Whidbeyhealth Medical Center
- Summit Pacific Medical Center
- North Valley Hospital
- Arbor Health Morton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00036445 | WA | MD | Pulmonary Disease Physician |
| MD00036455 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
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
- 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.
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
WA
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
WA
-
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, WA
- NPI 1659445468
WA
-
- Medical Specialty Clinic/Center
- Tonasket, WA
- NPI 1750443834
WA
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1710927231
Sleep Medicine, WA
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
Hospital
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
Hospital
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
-
- Critical Access Hospital
- Tonasket, WA
- NPI 1164580700
Hospital
-
- Critical Access Hospital
- Oak Harbor, WA
- NPI 1144348228
Hospital
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1164549549
Hospital
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1497640445
Hospital
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1710927231
Hospital
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1902771728
Hospital
-
- Critical Access Hospital
- Clinton, WA
- NPI 1992823595
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.