John J Intravartolo Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00012630 Issued in WA

Practice address

903 S Auburn St
Kennewick, WA 99336-5662

Phone

(509) 582-8225

Fax

(509) 582-2893

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Kennewick Public Hospital District

  • Home Health Agency
  • Kennewick, WA
  • NPI 1184797433
  NPD (past)
• Our Lady of Lourdes Health Center

  • Urology Physician
  • Pasco, WA
  • NPI 1649785569
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477596740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365662",
            "telephone_number": "509-582-8225",
            "fax_number": "509-582-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365662",
            "telephone_number": "509-582-8225",
            "fax_number": "509-582-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTRAVARTOLO",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00012630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120450",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Insights to Autism
• Inspired Solutions, Inc.
• Integrative Chiropractic and Extremities
• Integrity Health Services PLLC
• Erica Intilangelo
• Susan Ireland
• Iroko Healthcare Services LLC
• Iron Bridge Healthcare, Inc.
• Jesse Isenstadt, D.O.
• Haruko Ishii, PHARM/D

• Internal Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.