Active NPI
Lester Pittle, MD
- Internal Medicine Physician
- Kent, WA
National Provider Identifier
1487765442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00014275
- Practice address
- 325 W Gowe St
Kent, WA 98032-5892 - Phone
- (253) 833-7444
- NPI assigned
- Aug 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00014275 | WA | Primary |
Addresses
Primary practice location
325 W Gowe St
Kent, WA 98032-5892
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8277501 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kent.healthpoint.p3@direct.hpc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpoint | Family Medicine | Past | Accepting new patients |
| Qliance Medical Group of Wa | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kent, WA
- NPI 1508182692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1487765442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908",
"telephone_number": "425-277-1311",
"fax_number": "206-277-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W GOWE ST",
"city": "KENT",
"state": "WA",
"postal_code": "980325892",
"telephone_number": "253-833-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTLE",
"first_name": "LESTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00014275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8277501",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kent.healthpoint.p3@direct.hpc.nextgenshare.com",
"affiliation": "N",
"address_1": "403 E Meeker St Ste 200",
"city": "Kent",
"state": "WA",
"country_code": "US",
"postal_code": "980305904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.