NPIMap

Individual provider Active NPI

Richard Irigoyen, MD

  • Anesthesiology Physician
  • Lakewood, WA
National Provider Identifier
1700877198
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00043650 Issued in WA
Practice address
11315 Bridgeport Way SW
St Clare Hospital
Lakewood, WA 98499-3004
Phone
(253) 581-6403
Fax
(253) 584-6544
NPI assigned
Nov 3, 2005
Last updated
Aug 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00043650 WA Primary

Addresses

Primary practice location

11315 Bridgeport Way SW
St Clare Hospital
Lakewood, WA 98499-3004

Mailing address

PO Box 11626
Tacoma, WA 98411-6626
Phone (253) 565-9765

Other identifiers 1

IdentifierTypeStateIssuer
8405615MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ririgoyen12792@fhsce.catholichealth.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000302 WA Practitioner - Anesthesiology 4183699473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00043650WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Franciscan Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Lakes Anesthesia Anesthesiology Past Accepting new patients
Fox Medical Center PastSince Jun 27, 2021 Accepting new patients

Locations

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1717 S J St
#136
Tacoma, WA 98405
Phone (253) 426-6363

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

4620 Bridgeport Way W
University Place, WA 98466
Phone (253) 564-0170

Interoperability endpoints

  • Direct secure messaging: ririgoyen12792@fhsce.catholichealth.net

Organizations & group practices 5

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 6

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1700877198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11626",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984116626",
            "telephone_number": "253-565-9765",
            "fax_number": "253-584-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 BRIDGEPORT WAY SW",
            "address_2": "ST CLARE HOSPITAL",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993004",
            "telephone_number": "253-581-6403",
            "fax_number": "253-584-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIGOYEN",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00043650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8405615",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ririgoyen12792@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "11315 Bridgeport Way SW",
            "address_2": "St Clare Hospital",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.