Individual provider Active NPI

Jay Dumanian, MD

  • Emergency Medicine Physician
  • Auburn, WA
National Provider Identifier
1578192605
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD61308903 Issued in WA
Practice address
202 N Division St
Auburn, WA 98001-4939
Phone
(253) 833-7711
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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
Emergency Medicine Physician 207P00000X MD61308903 WA Primary

Addresses

Primary practice location

202 N Division St
Auburn, WA 98001-4939

Mailing address

202 N Division St
Auburn, WA 98001-4939

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
I20240920000726 WA Practitioner - Emergency Medicine 4587081484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Chicago, Pritzker School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puget Sound Physicians PLLCGroup PAC ID 2961301882, 47 clinicians
Cascade Emergency Physicians IncGroup PAC ID 8527955871, 19 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

202 N Division St
Auburn, WA 98001-4939
Phone (253) 833-7711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61308903WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Physicians PLLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Cascade Emergency Physicians Inc. Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
The Association of University Physicians PastSince Apr 1, 2020 Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011

3011 196th St SW
Lynnwood, WA 98036
Phone (425) 688-5759

Interoperability endpoints

  • Direct secure messaging: jdumanian790998@direct.multicare.org

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 4

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1578192605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "253-833-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMANIAN",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61308903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.