NPIMap

Individual provider Active NPI

Edgar A Figueroa, M.D.

  • Family Medicine Physician
  • Deer Park, WA
National Provider Identifier
1487650883
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00018431 Issued in WA
Practice address
905 E D Street
Deer Park, WA 99006
Phone
(509) 276-5005
Fax
(509) 276-7785
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00018431 WA Primary

Addresses

Primary practice location

905 E D Street
Deer Park, WA 99006

Mailing address

PO Box 1529
905 East D Street
Deer Park, WA 99006-1529
Phone (509) 276-5005

Other identifiers 2

IdentifierTypeStateIssuer
124535OtherWAL&I
8309569MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070119000094 WA Practitioner - Family Practice 5395746275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Washington PLLCGroup PAC ID 2264320837, 73 clinicians

Practice addresses (Care Compare)

905 E D St
Deer Park, WA 99006-5167
Phone (509) 276-5005

Hospital & facility affiliations

  • Assured Home Health Home health agency, Spokane Valley, WA, CCN 507044
  • Horizon Hospice Hospice, Spokane, WA, CCN 501535
  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Providence St Luke'S Rehabilitation Medical Center Inpatient rehabilitation facility, Spokane, WA, CCN 503025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00018431WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Jan 7, 2025 Accepting new patients
Deer Park Urgent Care PLLC Family Medicine CurrentSince Dec 1, 2006 Accepting new patients
Privia Medical Group Washington, PLLC Family Medicine CurrentSince Jan 7, 2025 Accepting new patients
Deer Park Family Care Clinic PS Family Medicine CurrentSince Aug 31, 1998 Accepting new patients

Locations

309 E Farwell Rd
Ste 204
Spokane, WA 99218
Phone (509) 385-0600

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Interoperability endpoints

  • Direct secure messaging: edgarfigueroa@dpfc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHGAA
  • Direct secure messaging: edgar.figueroa.1@28594.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Deer Park Urgent CareDeer Park, WA, CCN 503939 Rural health clinic Operational/Managerial Control Jan 1, 1998
Deer Park Family Care ClinicDeer Park, WA, CCN 503940 Rural health clinic Operational/Managerial Control Jan 1, 1998

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 5

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1487650883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1529",
            "address_2": "905 EAST D STREET",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990061529",
            "telephone_number": "509-276-5005",
            "fax_number": "509-276-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E D STREET",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "99006",
            "telephone_number": "509-276-5005",
            "fax_number": "509-276-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "EDGAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00018431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "124535",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8309569",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, WA

Sources for this page

Verify at the official NPI Registry.