Individual provider Active NPI

Douglas Edward Wrung, MD

  • Family Medicine Physician
  • Sunnyside, WA
National Provider Identifier
1689751679
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0026187 Issued in WA
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

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7097108MedicaidWA

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
I20040831001271 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8022000777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Michigan Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Valley Community Clinic PLLCGroup PAC ID 8729976998, 7 clinicians

Practice addresses (Care Compare)

700 S 11TH St
Sunnyside, WA 98944-2243
Phone (509) 839-6822

Hospital & facility affiliations

  • Mountainview Home Health Home health agency, Yakima, WA, CCN 507115
  • Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330
  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
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

LicenseStateTypeSpecialty
MD0026187WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Community Clinic, PLLC Family Medicine CurrentSince May 1, 1996 Accepting new patients
Douglas E Wrung MD PC Family Medicine PastSince Jul 20, 1999 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.

FacilityTypeRoleSince
Mid-Valley Community Clinic PLLCSunnyside, WA, CCN 503907 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.

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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.