Individual provider Active NPI

Benito Jaramillo, OD

  • Optometrist
  • Yakima, WA
National Provider Identifier
1598997397
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003862 Issued in WA
Practice address
3403 Powerhouse Rd
Yakima, WA 98902-1547
Phone
(509) 966-2253
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003862 WA Primary

Addresses

Primary practice location

3403 Powerhouse Rd
Yakima, WA 98902-1547

Mailing address

3403 Powerhouse Rd
Yakima, WA 98902-1547

Other identifiers 1

IdentifierTypeStateIssuer
1598997397MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jaramillo@yakimaeyecenter.direct.eyemdemr.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000455 WA Practitioner - Optometry 6305837758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard E Ehlers MD PCGroup PAC ID 2961478425, 3 clinicians

Practice addresses (Care Compare)

3403 Powerhouse Rd
Yakima, WA 98902-1547
Phone (509) 966-2253

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard E. Ehlers, MD, PC CurrentSince Aug 17, 2009 Accepting new patients

Locations

2405 Reith Way
#1
Sunnyside, WA 98944
Phone (509) 839-2020

3403 Powerhouse Rd
Yakima, WA 98902
Phone (509) 966-2253

Interoperability endpoints

  • Direct secure messaging: jaramillo@yakimaeyecenter.direct.eyemdemr.com

Organizations & group practices 1

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1598997397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 POWERHOUSE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 POWERHOUSE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021547",
            "telephone_number": "509-966-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "BENITO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598997397",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jaramillo@yakimaeyecenter.direct.eyemdemr.com",
            "affiliation": "N",
            "address_1": "3403 Powerhouse Rd",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989021547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.