NPIMap

Individual provider Active NPI

James Onorato, M.D., PH.D.

  • Internal Medicine Physician
  • Clarkston, WA
National Provider Identifier
1679504559
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3367 Issued in TX
Practice address
1119 Highland Ave
Clarkston, WA 99403-2836
Phone
(509) 758-5511
NPI assigned
Jul 6, 2006
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3367 TX Primary
Nephrology Physician 207RN0300X K3367 TX

Addresses

Primary practice location

1119 Highland Ave
Clarkston, WA 99403-2836

Mailing address

PO Box 189
Clarkston, WA 99403-0189
Phone (509) 758-5511

Other identifiers 2

IdentifierTypeStateIssuer
2134378MedicaidWA
144651001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190705001057 ID Practitioner - NephrologyPractitioner - Internal Medicine 5991768210 Reassigns benefits to 1 organization
I20190705001143 WA Practitioner - NephrologyPractitioner - Internal Medicine 5991768210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Memorial HospitalGroup PAC ID 4082502422, 33 clinicians

Practice addresses (Care Compare)

1119 Highland Ave
Clarkston, WA 99403-2836
Phone (509) 758-5511

1221 Highland Ave
Clarkston, WA 99403-2829

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3367TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Memorial Hospital Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jun 1, 2019 Accepting new patients
Tri-State Memorial Hospital Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Northwest Renal Consultants Nephrology PastSince Apr 5, 2001 Accepting new patients
Houston Electrophysiology Associates Past Accepting new patients
Vannvei LLC Past Accepting new patients

Locations

2841 Juniper Dr
#2
Lewiston, ID 83501
Phone (208) 848-9001

1119 Highland Ave
Clarkston, WA 99403
Phone (509) 758-1450

1119 Highland Ave
Ste 5
Clarkston, WA 99403
Phone (509) 751-0312

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

Organizations & group practices 6

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1679504559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994030189",
            "telephone_number": "509-758-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032836",
            "telephone_number": "509-758-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONORATO",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3367",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K3367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134378",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144651001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

Sources for this page

Verify at the official NPI Registry.