Active NPI
Didi Elise Ebert, DO
- Family Medicine Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61670006
- Practice address
- 1806 W Lincoln Ave
Yakima, WA 98902-2473 - Phone
- (509) 452-4520
- Fax
- (509) 452-5224
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N5513 | TX | |
| Family Medicine Physician | 207Q00000X | OP61670006 | WA | Primary |
Addresses
Primary practice location
1806 W Lincoln Ave
Yakima, WA 98902-2473
Mailing address
501 S 5TH Ave
Yakima, WA 98902-3550
Phone (098) 531-0825
Other practice location 1
855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-3627
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2338961 | Medicaid | WA | |
| 218566202 | Medicaid | TX | |
| 8DR747 | Other | TX | BCBS |
| P01488683 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 E 2ND St
Naches, WA 98937-9743
Phone (509) 653-2235
1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520
501 S 5TH Ave
Yakima, WA 98902-3550
521 E Mountain View Ave
Ellensburg, WA 98926-3865
Phone (509) 962-1414
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61670006 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of Central Washington | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| Community Health of Central Washington | Family Medicine | Current | Accepting new patients |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Community Health of Central Washington | Family Medicine | Past | Accepting new patients |
| Community Health of Central Washington | Past | Accepting new patients |
Locations
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
3500 Camp Bowie Blvd
#1
Ft Worth, TX 76107
Phone (817) 735-0310
855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334
521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414
1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520
501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700
402 S 12th Ave
Bsmt
Yakima, WA 98902
402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
Family Medicine
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Federally Qualified Health Center (FQHC)
- Tieton, WA
- NPI 1700255874
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1053416289
-
- Neuromusculoskeletal Medicine & OMM Physician
- Fort Worth, TX
- NPI 1376645564
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1659473056
-
- Pediatrics Physician
- Yakima, WA
- NPI 1154533222
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1700097706
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1649596305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S 5TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023550",
"telephone_number": "098-531-0825",
"fax_number": "509-573-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W LINCOLN AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022473",
"telephone_number": "509-452-4520",
"fax_number": "509-452-5224"
}
],
"practiceLocations": [
{
"address_1": "855 Montgomery St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761072553",
"country_code": "US",
"telephone_number": "817-735-3627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBERT",
"first_name": "DIDI",
"middle_name": "ELISE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N5513",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61670006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2338961",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218566202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8DR747",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01488683",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.