David Anthony Thiede Cortese, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Enumclaw, WA
NPI 1710098660 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1710098660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD00046514 (WA)
- Practice address
- 2820 Griffin Ave Ste 210
Enumclaw, WA 98022-2373 - Phone
- (360) 825-7500
- Fax
- (360) 825-3370
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of California, Irvine, California College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
2820 Griffin Ave
Suite 210
Enumclaw, WA 98022-2373
Phone (360) 825-7500
Hospital & facility affiliations
- St Anthony Hospital
- St Joseph Medical Center
- St Michael Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 18 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080125000466 | WA | Practitioner - Orthopedic Surgery | 5698794600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91046 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Orthopaedic Surgery | Current |
Accepting new patients |
| Franciscan Medical Group | Orthopaedic Surgery | Current | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients | |
| Michael D. Gill MD Inc | Orthopaedic Surgery | Past |
Accepting new patients |
Locations
21 NE Romance Hill Rd
Ste 105
Belfair, WA 98528
Phone (360) 277-2950
2820 Griffin Ave
Ste 210
Enumclaw, WA 98022
Phone (360) 802-6838
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
11511 Canterwood Blvd
Ste 205
Gig Harbor, WA 98332
Phone (253) 530-2663
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- dcortese686613@fhsce.catholichealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00046514 | WA | Yes |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A91046 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD00046514 | WA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD26886 | OR |
Addresses
Primary practice location
2820 Griffin Ave Ste 210
Enumclaw, WA 98022-2373
Mailing address
2820 Griffin Ave
Ste 210
Enumclaw, WA 98022-2373
Phone (360) 825-7500
Other practice location 1
1650 Cochrane Cir
Ft Carson, CO 80913-4613
Phone (719) 526-7440
Other practice location 2
1650 Cochrane Cir
Ft Carson, CO 80913
Phone (719) 526-7440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1045353 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcortese686613@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Other providers in Enumclaw, WA
- Daniel T Clerc
- Alice L Coles
- Commonspirit Washington
- Commonspirit Washington
- Mikaela Cormier
- Christina L Crabb
- Emily C Cunningham-Carter
- Ebenezer William Allen Dahl
- Rachel Elizabeth Dahl
- Kasey Jo Daley
All providers in Enumclaw, WA · Orthopaedic Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.