Individual provider Active NPI

Judah Slavkovsky, M.D.

  • Surgery Physician
  • Wenatchee, WA
National Provider Identifier
1538489224
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60710646 Issued in WA
Practice address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone
(509) 663-8711
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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 MD60710646 WA Primary

Addresses

Primary practice location

820 N Chelan Ave
Wenatchee, WA 98801-2028

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171107002708 WA Practitioner - General Surgery 8123266673 Reassigns benefits to 3 organizations
I20200316002568 OR Practitioner - General Surgery 8123266673 Reassigns benefits to 1 organization
I20201214000315 IL Practitioner - General Surgery 8123266673 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Apr 27, 2021 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 1, 2019 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Multicare Health System CurrentSince Oct 27, 2019 Accepting new patients
Richland Memorial Hospital, Inc Surgery CurrentSince Apr 27, 2021 Accepting new patients
Carle Health Care Incorporated CurrentSince Nov 30, 2020 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Mar 15, 2019 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Mar 15, 2019 Accepting new patients
Multicare Health System CurrentSince Oct 27, 2019 Accepting new patients
Providence Health & Services Washington CurrentSince Apr 7, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 1, 2019 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

3105 Fields South Dr
Champaign, IL 61822
Phone (217) 902-3277

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

1213 24th St
Ste 700
Anacortes, WA 98221
Phone (360) 293-5142

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1720 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 736-1195

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: jslavkovsky435453@direct.peacehealth.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1538489224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVKOVSKY",
        "first_name": "JUDAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60710646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.