Individual provider Active NPI

Ryan Paul Duarte, M.A., PA-C

  • Physician Assistant
  • Pasco, WA
National Provider Identifier
1720127020
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60604338 Issued in WA
Practice address
7425 Wrigley Dr
Suite 100
Pasco, WA 99301-5292
Phone
(509) 545-6220
NPI assigned
Feb 5, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60604338 WA Primary
Mental Health Counselor 101YM0800X LH60136962 WA

Addresses

Primary practice location

7425 Wrigley Dr
Suite 100
Pasco, WA 99301-5292

Mailing address

7425 Wrigley Dr
Suite 100
Pasco, WA 99301-5292
Phone (509) 545-6220

Other practice location 1

1721 W Kennewick Ave Ste 1B
Kennewick, WA 99336-3377
Phone (509) 585-6318

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151116000930 WA Practitioner - Physician Assistant 5193035574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8901 W Gage Blvd
Kennewick, WA 99336-7148
Phone (509) 735-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.18 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
LH60136962WAMDMental Health Counselor
PA60604338WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Excellence in Dermatology, PLLC CurrentSince Oct 1, 2019 Accepting new patients
Our Lady of Lourdes Health Center Past Accepting new patients

Locations

8901 W Gage Blvd
Kennewick, WA 99336
Phone (509) 628-1911

Organizations & group practices 3

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 1

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720127020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 WRIGLEY DR",
            "address_2": "SUITE 100",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015292",
            "telephone_number": "509-545-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 WRIGLEY DR",
            "address_2": "SUITE 100",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015292",
            "telephone_number": "509-545-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 W Kennewick Ave Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993363377",
            "country_code": "US",
            "telephone_number": "509-585-6318",
            "fax_number": "509-586-4313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "RYAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "M.A., PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60604338",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60136962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.