Active NPI
Douglas Edward Wrung, MD
- Family Medicine Physician
- Sunnyside, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0026187
- Practice address
- 700 S 11TH St
Sunnyside, WA 98944-2243 - Phone
- (509) 839-6822
- Fax
- (509) 839-5913
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 | MD0026187 | WA | Primary |
| Obstetrics Physician | 207VX0000X | MD00026187 | WA |
Addresses
Primary practice location
700 S 11TH St
Sunnyside, WA 98944-2243
Mailing address
PO Box 957
Sunnyside, WA 98944-0957
Phone (509) 839-6822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7097108 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Michigan Medical School, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 S 11TH St
Sunnyside, WA 98944-2243
Phone (509) 839-6822
Hospital & facility affiliations
- Mountainview Home Health
- Astria Sunnyside Hospital
- Prosser Memorial Hospital
- Yakima Valley Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.73 of 100
- Quality
- 80.23
- Promoting interoperability
- 82
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0026187 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Valley Community Clinic, PLLC | Family Medicine | Current | Accepting new patients |
| Douglas E Wrung MD PC | Family Medicine | Past | Accepting new patients |
Locations
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
700 S 11th St
Sunnyside, WA 98944
Phone (509) 839-6288
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mid-Valley Community Clinic PLLC | Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Director |
Feb 12, 1996 Oct 11, 2005 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Medicine Physician
- Sunnyside, WA
- NPI 1447203104
5% Or Greater Direct Ownership Interest, Corporate Director
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Sunnyside, WA
- NPI 1447203104
-
- Family Medicine Physician
- Sunnyside, CA
- NPI 1811164478
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Yakima, WA
- NPI 1578583399
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1689751679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 957",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989440957",
"telephone_number": "509-839-6822",
"fax_number": "509-839-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S 11TH ST",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989442243",
"telephone_number": "509-839-6822",
"fax_number": "509-839-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRUNG",
"first_name": "DOUGLAS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD0026187",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WA",
"license": "MD00026187",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7097108",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.