Individual provider Active NPI

John T Droesch, M.D.

  • Surgery Physician
  • Richland, WA
National Provider Identifier
1528098928
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00044432 Issued in WA
Practice address
1100 Goethals Drive
2ND Floor
Richland, WA 99352-3304
Phone
(509) 942-3185
Fax
(509) 946-1850
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00044432 WA Primary

Addresses

Primary practice location

1100 Goethals Drive
2ND Floor
Richland, WA 99352-3304

Mailing address

3900 S Zintel Way
Kennewick, WA 99337-5092
Phone (509) 942-3627

Other practice location 1

780 Swift Blvd Ste 101
Richland, WA 99352-3545
Phone (509) 942-3288

Other practice location 2

7350 W Deschutes Ave Ste A
Kennewick, WA 99336-7802
Phone (509) 783-0144

Other identifiers 2

IdentifierTypeStateIssuer
1528098928MedicaidWA
1122571MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jdroesch1107193@wm.providencedirect.org Direct
Direct Messaging Address jdroesch1107193@wm.providencedirect.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001347 WA Practitioner - General Surgery 9032144076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

780 Swift Blvd
Suite 101
Richland, WA 99352-3545
Phone (509) 942-3288

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Mastectomy122
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center Current Accepting new patients
Kadlec Regional Medical Center CurrentSince Mar 1, 2013 Accepting new patients
Kadlec Regional Medical Center CurrentSince Mar 1, 2013 Accepting new patients
John T Droesch MD PLLC Surgery PastSince Oct 1, 2005 Accepting new patients

Locations

3900 S Zintel Way
Kennewick, WA 99337
Phone (509) 942-3125

7350 W Deschutes Ave
Ste A
Kennewick, WA 99336
Phone (509) 737-3371

1351 Fowler St
Richland, WA 99352
Phone (509) 942-2660

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

550 Gage Blvd
Ste 101
Richland, WA 99352

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1100 Goethals Dr
Fl 2
Richland, WA 99352
Phone (509) 942-3178

780 Swift Blvd
Ste 101
Richland, WA 99352
Phone (509) 942-3060

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 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1528098928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S ZINTEL WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993375092",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GOETHALS DRIVE",
            "address_2": "2ND FLOOR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523304",
            "telephone_number": "509-942-3185",
            "fax_number": "509-946-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Swift Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523545",
            "country_code": "US",
            "telephone_number": "509-942-3288",
            "fax_number": "509-946-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7350 W Deschutes Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993367802",
            "country_code": "US",
            "telephone_number": "509-783-0144",
            "fax_number": "509-783-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROESCH",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00044432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528098928",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122571",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdroesch1107193@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "780 Swift Blvd Ste 101",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdroesch1107193@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7350 W Deschutes Ave Ste A",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993367802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.