Individual provider Active NPI

Ashwin K. Shetty, D.O.

  • Emergency Medicine Physician
  • Yakima, WA
National Provider Identifier
1487613683
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
221207-1 Issued in NY
Practice address
4811 Snowmountain Rd
Yakima, WA 98908-2848
Phone
(509) 895-7321
Fax
(509) 895-7321
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 221207-1 NY Primary
Emergency Medicine Physician 207P00000X A02285 WA

Addresses

Primary practice location

4811 Snowmountain Rd
Yakima, WA 98908-2848

Mailing address

4811 Snowmountain Rd
Yakima, WA 98908-2848
Phone (509) 895-7321

Other identifiers 2

IdentifierTypeStateIssuer
02176630MedicaidNY
1768Q1OtherNYBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, VT, LA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040527000164 NY Practitioner - Emergency Medicine 5890776652 Reassigns benefits to 2 organizations
I20080304000062 WA Practitioner - Emergency Medicine 5890776652 Reassigns benefits to 3 organizations
I20250917003895 VT Practitioner - Emergency Medicine 5890776652 Reassigns benefits to 2 organizations
I20260511001611 LA Practitioner - Emergency Medicine 5890776652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians
Progressive Emergency Physicians PLLCGroup PAC ID 8820225956, 31 clinicians

Practice addresses (Care Compare)

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

Hospital & facility affiliations

  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2285WAMDClinical Neuropsychologist
221207-1NYMDEmergency Medicine Physician
A02285WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Washington Emergency Physician Partners PLLC Emergency Medicine CurrentSince Mar 12, 2013 Accepting new patients
Springfield Hospital Emergency Medicine CurrentSince Sep 8, 2025 Accepting new patients
St. Joseph Hospital CurrentSince Nov 28, 2023 Accepting new patients
Springfield Hospital .Inc CurrentSince Sep 8, 2025 Accepting new patients
Summitview Urgent Care Inc CurrentSince Dec 1, 2020 Accepting new patients
Washington Emergency Physician Partners, PLLC Emergency Medicine CurrentSince Mar 12, 2013 Accepting new patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Cowiche Creek Emergency Physicians Emergency Medicine Past Accepting new patients
Quarry Road Emergency Services P.C. Emergency Medicine Past Accepting new patients
Columbia Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Yakima Emergency Group a Professional Limited Liability Com Emergency Medicine Past Accepting new patients
Bronx Park Urgent Medical Care PC Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

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

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

120 S 72nd Ave
Ste 102
Yakima, WA 98908
Phone (509) 902-8856

6101 Summitview Ave
Ste 200
Yakima, WA 98908
Phone (509) 902-8856

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 14

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 14

Hospital & facility affiliations 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1487613683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 SNOWMOUNTAIN RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082848",
            "telephone_number": "509-895-7321",
            "fax_number": "509-895-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 SNOWMOUNTAIN RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082848",
            "telephone_number": "509-895-7321",
            "fax_number": "509-895-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "ASHWIN",
        "middle_name": "K.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "221207-1",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "A02285",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02176630",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1768Q1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.