Individual provider Active NPI

Jeffrey Todd Allgaier, MD

  • Addiction Medicine (Family Medicine) Physician
  • Richland, WA
National Provider Identifier
1659300374
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD00046152 Issued in WA
Practice address
969 Stevens Dr Ste 3a
Richland, WA 99352-3558
Phone
(509) 713-1315
Fax
(866) 422-7049
NPI assigned
Jul 3, 2006
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00046152 WA
Addiction Medicine (Family Medicine) Physician 207QA0401X MD00046152 WA Primary

Addresses

Primary practice location

969 Stevens Dr Ste 3a
Richland, WA 99352-3558

Mailing address

969 Stevens Dr Ste 3a
Richland, WA 99352-3558
Phone (509) 713-1315

Other identifiers 12

IdentifierTypeStateIssuer
0218208OtherWALIWA
2031254MedicaidWA
605960012OtherWAUSDLAB
3079ALOtherWABSWA
8452922MedicaidWA
3752ALOtherWABSWA
0216265OtherWALIWA
3075ALOtherWABSWA
0227596OtherWALIWA
0209137OtherWALIWA
8946277OtherWAVICTIMS OF CRIME
6593ALOtherWABSWA

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
I20061017000586 WA Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Addiction Medicine 9830195742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Emergency Medicine
Education
Wake Forest University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Disruption Healthcare PLLCGroup PAC ID 4486007705, 7 clinicians

Practice addresses (Care Compare)

969 Stevens Dr
Suite 3a
Richland, WA 99352-3558
Phone 50971313151047

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2008 Accepting new patients
Disruption Healthcare PLLC CurrentSince Nov 17, 2023 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

3290 W 19th Ave
Kennewick, WA 99337
Phone (509) 942-2485

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

969 Stevens Dr
Ste 1C
Richland, WA 99352
Phone (509) 713-1315

969 Stevens Dr
Ste 3A
Richland, WA 99352
Phone (509) 713-1315

1120 N Pines Rd
Ste A
Spokane Valley, WA 99206
Phone (509) 713-1315

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Interoperability endpoints

  • Direct secure messaging: jeffrey.allgaier@complexcare.eclinicaldirectplus.com

Organizations & group practices 2

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 5

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1659300374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "509-713-1315",
            "fax_number": "866-422-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "509-713-1315",
            "fax_number": "866-422-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGAIER",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00046152",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00046152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0218208",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031254",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDLAB",
            "identifier": "605960012",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "3079AL",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8452922",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "3752AL",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0216265",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "3075AL",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0227596",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0209137",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VICTIMS OF CRIME",
            "identifier": "8946277",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "6593AL",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.