Mary Grace Hipolito, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00047814 Issued in WA

Practice address

560 Gage Blvd
Suite 206
Richland, WA 99352

Phone

(509) 942-3286

Fax

(509) 628-1354

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
• Trios Health Hospital, Kennewick, WA, CCN 500053
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
• Lourdes Medical Center Hospital, Pasco, WA, CCN 501337
• Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.grace.hipolito.1@18485.direct.athenahealth.com

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.

• RCCH Trios Health LLC

  • Internal Medicine Physician
  • Kennewick, WA
  • NPI 1831682806

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  NPD (past)
• Kennewick Public Hospital District

  • Multi-Specialty Clinic/Center
  • Kennewick, WA
  • NPI 1235257262
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Lourdes Hospital LLC

  • Critical Access Hospital
  • Pasco, WA
  • NPI 1831284280
  Care Compare affiliation
• Prosser Public Hospital District of Benton County

  • Critical Access Hospital
  • Prosser, WA
  • NPI 1306897681
  Care Compare affiliation
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation
• Tri-Cities Home Health, LLC

  • Home Health Agency
  • Kennewick, WA
  • NPI 1679547244
  Care Compare affiliation

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1649483645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD",
            "address_2": "SUITE 203",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD",
            "address_2": "SUITE 206",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-3286",
            "fax_number": "509-628-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPOLITO",
        "first_name": "MARY GRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649483645",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Hess
• Dennis L Higgins, D.D.S.,P.S.
• Clarissa Y Hill
• Darcy Lynn Hill, CRNA
• Madalyn Kay Hill
• Jaden Danny Hirschman, LMT
• Christopher John Hoag
• Kevin Eric Hodges, MD
• Bill M Hogan, OTR
• Amy L. Hoger, PA-C

• Family Medicine Physician in Richland, WA
• Providers in Richland, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.