Ralph G Laraiso, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OP60722041 Issued in WA

Practice address

336 Chardonnay Ave Ste a
Prosser, WA 99350-9515

Phone

(509) 786-1576

Fax

(509) 788-6013

NPI assigned

Jun 15, 2005

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, WA2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

83.73 of 100Reported as group

Quality

80.23

Promoting interoperability

82

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Prosser Public Hospital District of Benton County

  dba Prosser Memorial Health

  • Critical Access Hospital
  • Prosser, WA
  • NPI 1306897681
  Medicare reassignment NPD
• Trihealth Rehabilitation Hospital, LLC

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1891140893
  Medicare reassignment NPD
• Prosser Public Hospital District of Benton County

  dba Prosser Memorial Health Spine Clinic

  • Specialist
  • Walla Walla, WA
  • NPI 1518770155
  NPD
• Oak Medical SC

  • Internal Medicine Physician
  • Waukesha, WI
  • NPI 1669910345

  Physical Medicine & Rehabilitation

  NPD
• Endion Medical Healthcare PC

  dba Endion Seniorcare

  • Internal Medicine Physician
  • Nyack, NY
  • NPI 1629257316

  Family Medicine

  NPD (past)
• Maple Medical SC

  • Physical Medicine & Rehabilitation Physician
  • Waukesha, WI
  • NPI 1487152104
  NPD (past)
• Southgate Medical Group,LLP

  • Internal Medicine Physician
  • West Seneca, NY
  • NPI 1487611927
  NPD (past)
• University Physical Medicine and Rehabilitation Associates Inc.

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
  • NPI 1558300871
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1699770842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MEMORIAL ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501524",
            "telephone_number": "509-786-1576",
            "fax_number": "509-788-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 CHARDONNAY AVE STE A",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993509515",
            "telephone_number": "509-786-1576",
            "fax_number": "509-788-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAISO",
        "first_name": "RALPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34.11223",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "235585",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2011032951",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "OP60722041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiranmayi Korimerla, MD
• Ashley Kristofzski
• Laboratory Corporation of America
• Cynthia Lane, OTR/L
• Edward Lane
• Amy M. Larsen, MS, CCC-SLP
• Brendon Larsen, P.T.A.
• Kalee Larsen, MD
• Angela Danese Lenhart
• Idalis Amadaley Licea

• Physical Medicine & Rehabilitation Physician in Prosser, WA
• Providers in Prosser, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.