Individual provider Active NPI

Ha Ta, MD

  • Internal Medicine Physician
  • Mount Vernon, WA
National Provider Identifier
1568437069
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60287362 Issued in WA
Practice address
1415 E Kincaid St
Skagit Valley Hospital, Hospitalists Office
Mount Vernon, WA 98274-4126
Phone
(360) 416-5750
Fax
(360) 416-5758
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0429415 KS
Internal Medicine Physician 207R00000X MD60287362 WA Primary

Addresses

Primary practice location

1415 E Kincaid St
Skagit Valley Hospital, Hospitalists Office
Mount Vernon, WA 98274-4126

Mailing address

1400 E Kincaid St
Skagit Regional Clinics, Attn: Credentialing
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

Other identifiers 3

IdentifierTypeStateIssuer
309609OtherWALABOR & INDUSTRIES
100400710AMedicaidKS
1568437069MedicaidWA

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
I20121120000566 WA Practitioner - General PracticePractitioner - Internal Medicine 0648312090 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Internal Medicine Current Accepting new patients
Pacmed Clinics CurrentSince Feb 28, 2022 Accepting new patients
Pacmed Clinics CurrentSince Feb 28, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 1, 2013 Accepting new patients
John H. Addison MD PS CurrentSince Feb 1, 2024 Accepting new patients
Pacmed Clinics Internal Medicine Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 1, 2013 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Kansas Inpatient Services, LLC Past Accepting new patients
Medical Consultants of Kansas,LLC Past Accepting new patients

Locations

3243 E Murdock St
Ste Lvl-A
Wichita, KS 67208
Phone (316) 688-3150

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

1909 214th St SE
Ste 300
Bothell, WA 98021
Phone (425) 412-6335

9725 SE 36th St
Ste 214
Mercer Island, WA 98040
Phone (206) 275-3588

1415 E Kincaid St
Ofc
Mount Vernon, WA 98274
Phone (360) 416-5750

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1568437069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "address_2": "SKAGIT REGIONAL CLINICS, ATTN: CREDENTIALING",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-2500",
            "fax_number": "360-428-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E KINCAID ST",
            "address_2": "SKAGIT VALLEY HOSPITAL, HOSPITALISTS OFFICE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744126",
            "telephone_number": "360-416-5750",
            "fax_number": "360-416-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "HA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0429415",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60287362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "309609",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100400710A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568437069",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.