NPIMap

Individual provider Active NPI

Jonathan Albert Jamito, MD

  • Internal Medicine Physician
  • Olympia, WA
National Provider Identifier
1538712880
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD61259315 Issued in WA
Practice address
1217 Cooper Point Rd SW # 2
Olympia, WA 98502-7204
Phone
(360) 569-9690
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD61259315 WA Primary

Addresses

Primary practice location

1217 Cooper Point Rd SW # 2
Olympia, WA 98502-7204

Mailing address

1217 Cooper Point Rd SW # 2
Olympia, WA 98502-7204
Phone (360) 569-9690

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
I20220831002299 WA Practitioner - Internal Medicine 8729319702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1217 Cooper Point Rd SW
Suite 2
Olympia, WA 98502-7204
Phone (360) 569-9690

2600 Compass Rd
Glenview, IL 60026-8001

3920 Capital Mall Dr SW
Suite 200
Olympia, WA 98502-8701
Phone (360) 459-7282

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61259315WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Physicians LLC CurrentSince Jul 1, 2022 Accepting new patients
Capital Medical Center Physicians LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Capital Medical Center Physicians LLC Past Accepting new patients
Olympia Family Medicine, Inc. PastSince Jan 8, 2023 Accepting new patients

Locations

1217 Cooper Point Rd SW
Ste 2
Olympia, WA 98502
Phone (360) 736-0928

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

1217 Cooper Point Rd SW
#2
Olympia, WA 98502
Phone (360) 569-9690

Organizations & group practices 5

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 9

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1538712880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 COOPER POINT RD SW # 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985027204",
            "telephone_number": "360-569-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 COOPER POINT RD SW # 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985027204",
            "telephone_number": "360-569-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMITO",
        "first_name": "JONATHAN ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61259315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.