NPIMap

Individual provider Active NPI

Joshua B Kretchmar, DO

  • Family Medicine Physician
  • Kent, WA
National Provider Identifier
1629485701
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 13841 Issued in FL
Practice address
1314 Central Ave S Ste 103
Kent, WA 98032-7430
Phone
(817) 789-2639
NPI assigned
Jul 21, 2014
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 13841 FL Primary

Addresses

Primary practice location

1314 Central Ave S Ste 103
Kent, WA 98032-7430

Mailing address

2844 Glendale Dr W
University Place, WA 98466-2200
Phone (206) 407-4171

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
I20171017000916 WA Practitioner - Family PracticePractitioner - Emergency Medicine 6507157575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rejuvenation Medical PLLCGroup PAC ID 4880083062, 11 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2222 Meridian Ave E
Suite a
Edgewood, WA 98371-1032
Phone (206) 407-4171

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 13841FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Family Medicine CurrentSince Sep 6, 2017 Accepting new patients
Multicare Health System CurrentSince Sep 6, 2017 Accepting new patients
Rejuvenation Medical PLLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Tacoma Rehab, LLC Past Accepting new patients
Olympic Marmot Healthcare LLC Past Accepting new patients
Wesley Homes Lea Hill LLC Past Accepting new patients
Eagle Harbor Healthcare LLC Past Accepting new patients
Wesley Homes Des Moines LLC Past Accepting new patients
PO SNF Operations LLC PastSince Nov 1, 2023 Accepting new patients
Heritage Rehab, LLC Past Accepting new patients

Locations

835 Madison Ave N
Bainbridge Island, WA 98110
Phone (206) 407-4171

2222 Meridian Ave E
Ste A
Edgewood, WA 98371
Phone (206) 407-4171

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

1314 Central Ave S
Ste 102
Kent, WA 98032
Phone (253) 397-8683

1314 Central Ave S
Ste 103
Kent, WA 98032
Phone (817) 789-2639

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

12844 Military Rd S
Tukwila, WA 98168
Phone (206) 244-0180

Interoperability endpoints

  • Direct secure messaging: joshua.kretchmar@290329509036036.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avamere at Pacific RidgeTacoma, WA, CCN 505264 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
Jul 1, 2023
Bainbridge Island Health and RehabilitationBainbridge Island, WA, CCN 505325 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Dec 1, 2021
Dec 1, 2021
Dec 1, 2021
Avamere Rehabilitation at RidgemontPort Orchard, WA, CCN 505217 Skilled nursing facility Contracted Managing Employee Nov 1, 2023
Belmont TerraceBremerton, WA, CCN 505290 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Aug 29, 2024
Apr 19, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1629485701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 GLENDALE DR W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984662200",
            "telephone_number": "206-407-4171",
            "fax_number": "817-440-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CENTRAL AVE S STE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327430",
            "telephone_number": "817-789-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETCHMAR",
        "first_name": "JOSHUA",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 13841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.