Individual provider Active NPI

Paula A Dygert, MD

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1609853993
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60664470 Issued in WA
Practice address
5901 N Lidgerwood St Ste 126
Spokane, WA 99208
Phone
(509) 434-1990
Fax
(509) 340-8986
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60664470 WA Primary

Addresses

Primary practice location

5901 N Lidgerwood St Ste 126
Spokane, WA 99208

Mailing address

3435 S London CT
Spokane, WA 99203-1655
Phone (607) 343-4675

Other practice location 1

624 E. Front Ave
Spokane, WA 99202-0000
Phone (509) 626-9900

Other identifiers 1

IdentifierTypeStateIssuer
02571864MedicaidNY

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
I20160921001517 WA Practitioner - Internal Medicine 4486621919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Association of SpokaneGroup PAC ID 9638063217, 222 clinicians

Practice addresses (Care Compare)

1001 W 2ND Ave
Spokane, WA 99201-4503
Phone (509) 835-1206

1203 Idaho St
Lewiston, ID 83501-1940
Phone (208) 848-8300

1512 N Vercler
Suite 203
Spokane Valley, WA 99216-1087
Phone (509) 444-8200

2020 E 29TH Ave
Suite 110
Spokane, WA 99203-3951
Phone (509) 779-8793

5901 N Lidgerwood St
126 Spokane Urgent Care
Spokane, WA 99208-1122
Phone (509) 434-1990

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Aug 17, 2019 Accepting new patients
Community Health Association of Spokane CurrentSince Aug 17, 2019 Accepting new patients
Simplicity Direct Care, PLLC CurrentSince May 29, 2023 Accepting new patients
Bavihealth CurrentSince Feb 4, 2021 Accepting new patients
Community Health Association of Spokane Current Accepting new patients

Locations

1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300

803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300

1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002

203 N Washington St
Ste 300
Spokane, WA 99201

5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604

5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990

2020 E 29th Ave
Ste 110
Spokane, WA 99203
Phone (509) 779-8793

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

412 E Spokane Falls Blvd
Spokane, WA 99202
Phone (509) 358-7500

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393

5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590

1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204

Interoperability endpoints

  • Direct secure messaging: paula.dygert@302322935398404.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/24571/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1609853993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 S LONDON CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031655",
            "telephone_number": "607-343-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST STE 126",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99208",
            "telephone_number": "509-434-1990",
            "fax_number": "509-340-8986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 E. Front Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992020000",
            "country_code": "US",
            "telephone_number": "509-626-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYGERT",
        "first_name": "PAULA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60664470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02571864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.