NPIMap

Individual provider Active NPI

Parampreet Singh Ghuman, MD

  • Nephrology Physician
  • Mount Vernon, WA
National Provider Identifier
1528228186
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD60347939 Issued in WA
Practice address
121 S. 12TH St
Ste B
Mount Vernon, WA 98274
Phone
(360) 982-2210
Fax
(360) 982-2502
NPI assigned
Jun 16, 2008
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD60347939 WA Primary

Addresses

Primary practice location

121 S. 12TH St
Ste B
Mount Vernon, WA 98274

Mailing address

121 S. 12TH St.
Ste B
Mount Vernon, WA 98274
Phone (360) 982-2210

Other practice location 1

1708 Yakima Ave Ste 107
Tacoma, WA 98405-5300
Phone (253) 207-4850

Other identifiers 1

IdentifierTypeStateIssuer
2026195MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pghuman785516@fhsce.catholichealth.net Direct Franciscan Medical Group

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
I20130806000948 WA Practitioner - Nephrology 1153563929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
C J Kuan MD Inc PSGroup PAC ID 2365332830, 2 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

121 S 12TH St
Suite a
Mount Vernon, WA 98274-4035
Phone (360) 982-2210

1708 Yakima Ave
Suite 205
Tacoma, WA 98405-5300
Phone (253) 565-6777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60347939WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C J Kuan MD Inc PS Nephrology CurrentSince Jul 16, 2013 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Jul 18, 2023 Accepting new patients

Locations

1111 Pacific Ave
Ste 2
Everett, WA 98201
Phone (360) 734-8204

1111 Pacific Ave
Ste B
Everett, WA 98201
Phone (425) 257-1100

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

121 S 12th St
Ste A
Mount Vernon, WA 98274
Phone (360) 982-2210

1500 E Broadway
Mount Vernon, WA 98274
Phone (360) 982-2210

1708 Yakima Ave
Ste 107
Tacoma, WA 98405
Phone (253) 207-4850

1708 Yakima Ave
Ste 205
Tacoma, WA 98405
Phone (253) 565-6777

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: parampreet.ghuman@direct.davitaphysiciansolutions.com
  • Direct secure messaging: pghuman785516@fhsce.catholichealth.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1528228186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S. 12TH ST.",
            "address_2": "STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98274",
            "telephone_number": "360-982-2210",
            "fax_number": "360-982-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S. 12TH ST",
            "address_2": "STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98274",
            "telephone_number": "360-982-2210",
            "fax_number": "360-982-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Yakima Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984055300",
            "country_code": "US",
            "telephone_number": "253-207-4850",
            "fax_number": "253-383-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHUMAN",
        "first_name": "PARAMPREET",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60347939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026195",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pghuman785516@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1708 Yakima Ave Ste 107",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.