NPIMap

Individual provider Active NPI

Aloysius Yinug, M.D

  • Family Medicine Physician
  • Stanwood, WA
National Provider Identifier
1730183708
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00041402 Issued in WA
Practice address
7205 265TH St NW
Stanwood, WA 98292-6221
Phone
(360) 629-1504
Fax
(360) 629-1513
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00041402 WA Primary

Addresses

Primary practice location

7205 265TH St NW
Stanwood, WA 98292-6221

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (360) 629-1504

Other identifiers 3

IdentifierTypeStateIssuer
8314452MedicaidWA
0189877OtherWAL & I
1017593MedicaidWA

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
I20040811001055 WA Practitioner - Family Practice 2062484843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

7205 265TH St NW
Stanwood, WA 98292-6221
Phone (360) 629-1500

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Everett, WA, CCN 507071
  • Alpha Home Health Home health agency, Everett, WA, CCN 507107
  • Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
  • Josephine at Home Home health agency, Stanwood, WA, CCN 507308
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC Family Medicine CurrentSince Oct 17, 2016 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Jan 4, 2010 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Jan 4, 2010 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Oct 17, 2016 Accepting new patients
Optum Care Washington PLLC Past Accepting new patients

Locations

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

290 Central Way
Kirkland, WA 98033
Phone (425) 635-6470

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

7205 265th St NW
Stanwood, WA 98292
Phone (360) 629-1100

Interoperability endpoints

  • Direct secure messaging: ayinug15432@direct.tecmc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1730183708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "360-629-1504",
            "fax_number": "360-629-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 265TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926221",
            "telephone_number": "360-629-1504",
            "fax_number": "360-629-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YINUG",
        "first_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8314452",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0189877",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017593",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

Verify at the official NPI Registry.