Individual provider Active NPI

Jesus Iniguez, MD

  • Family Medicine Physician
  • Des Moines, WA
National Provider Identifier
1720438989
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61043516 Issued in WA
Practice address
2781 S 242ND St
Des Moines, WA 98198-5166
Phone
(206) 212-4500
Fax
(206) 212-4515
NPI assigned
Jun 20, 2016
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 MD61043516 WA Primary
Obstetrics & Gynecology Physician 207V00000X MD61043516 WA

Addresses

Primary practice location

2781 S 242ND St
Des Moines, WA 98198-5166

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (206) 212-4500

Other practice location 1

233 2nd Ave S
Kent, WA 98032-5852
Phone (206) 436-6380

Other practice location 2

14434 Ambaum Blvd SW
Burien, WA 98166-1438
Phone (206) 812-6140

Other practice location 3

8720 14th Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730

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
I20200924002846 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8729372230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

2781 S 242ND St
Des Moines, WA 98198-5166
Phone (206) 212-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61043516WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Aug 7, 2020 Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Aug 7, 2020 Accepting new patients
Highline Medical Center Past Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients
Sea-Mar Community Health Center Family Medicine Past Accepting new patients

Locations

233 2nd Ave S
Kent, WA 98032
Phone (206) 436-6380

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Interoperability endpoints

  • Direct secure messaging: jiniguez492175@direct.multicare.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1720438989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-212-4500",
            "fax_number": "978-687-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 S 242ND ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985166",
            "telephone_number": "206-212-4500",
            "fax_number": "206-212-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 2nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980325852",
            "country_code": "US",
            "telephone_number": "206-436-6380",
            "fax_number": "206-436-6368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14434 Ambaum Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981661438",
            "country_code": "US",
            "telephone_number": "206-812-6140",
            "fax_number": "206-812-2466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8720 14th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981084807",
            "country_code": "US",
            "telephone_number": "206-762-3730",
            "fax_number": "206-764-0523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INIGUEZ",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61043516",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61043516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.