Individual provider Active NPI

Roy E Gondo, M.D.

  • Family Medicine Physician
  • Wapato, WA
National Provider Identifier
1669476131
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00035498 Issued in WA
Practice address
620 W 1St St
Wapato, WA 98951-1108
Phone
(509) 877-4111
NPI assigned
Jun 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X MD00035498 WA
Family Medicine Physician 207Q00000X MD00035498 WA Primary

Addresses

Primary practice location

620 W 1St St
Wapato, WA 98951-1108

Mailing address

PO Box 190
Toppenish, WA 98948-0190

Other practice location 1

611 N 39TH Ave
Yakima, WA 98902-6348
Phone (509) 225-6691

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
I20050822001098 WA Practitioner - Family Practice 5092746826 Reassigns benefits to 1 organization
Practice locations: Yakima, WA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mayo Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

Practice addresses (Care Compare)

620 W
1St
Wapato, WA 98951-1108
Phone (509) 877-4111

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037
  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions27
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00035498WAMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Nov 26, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Nov 26, 2025 Accepting new patients
Yakima Valley Memorial Hospital Association Past Accepting new patients

Locations

620 W 1st St
Wapato, WA 98951
Phone (509) 480-9345

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

314 S 11th Ave
Ste A
Yakima, WA 98902
Phone (509) 575-0114

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1669476131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 1ST ST",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511108",
            "telephone_number": "509-877-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N 39TH AVE",
            "address_purpose": "LOCATION",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026348",
            "country_code": "US",
            "telephone_number": "509-225-6691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONDO",
        "first_name": "ROY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "WA",
            "license": "MD00035498",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00035498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapato, WA

Sources for this page

Verify at the official NPI Registry.