Active NPI
Jonathan R. Hibbs, MD
- Infectious Disease Physician
- Ellensburg, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD60223697
- Practice address
- 700 E Manitoba Ave Ste 101
Ellensburg, WA 98926-3885 - Phone
- (509) 925-6100
- Fax
- (509) 925-7604
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5225486 | NY | |
| Internal Medicine Physician | 207R00000X | MD60223697 | WA | |
| Infectious Disease Physician | 207RI0200X | 5225486 | NY | |
| Infectious Disease Physician | 207RI0200X | MD60223697 | WA | Primary |
Addresses
Primary practice location
700 E Manitoba Ave Ste 101
Ellensburg, WA 98926-3885
Mailing address
700 E Manitoba Ave Ste 101
Ellensburg, WA 98926-3885
Other practice location 1
1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2038578 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520
Hospital & facility affiliations
- Yakima Valley Memorial
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60223697 | WA | MD | Internal Medicine Physician |
| 5225486 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Kittitas County Public Hosp Dist 1 | Current | Accepting new patients | |
| Community Health of Central Washington | Family Medicine | Current | Accepting new patients |
| Community Health of Central Washington | Current | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Community Health of Central Washington | Family Medicine | Past | Accepting new patients |
| Yakima Valley Memorial Hospital Association | Past | Accepting new patients |
Locations
700 E Manitoba Ave
Ste 101
Ellensburg, WA 98926
Phone (509) 452-5378
603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693
521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414
501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700
402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263
1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520
Interoperability endpoints
- jhibbs@kittitasvalleyhealthcare.cernerdirect.com
- https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
Family Medicine
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- Federally Qualified Health Center (FQHC)
- Tieton, WA
- NPI 1700255874
-
- Urology Physician
- Ellensburg, WA
- NPI 1437029832
-
- Rural Health Clinic/Center
- Ellensburg, WA
- NPI 1770711764
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1700097706
Family Medicine
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1487735569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MANITOBA AVE STE 101",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MANITOBA AVE STE 101",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263885",
"telephone_number": "509-925-6100",
"fax_number": "509-925-7604"
}
],
"practiceLocations": [
{
"address_1": "1806 W Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989022473",
"country_code": "US",
"telephone_number": "509-452-4520",
"fax_number": "509-452-5224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIBBS",
"first_name": "JONATHAN",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "5225486",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60223697",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "5225486",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WA",
"license": "MD60223697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2038578",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.