Individual provider Active NPI

Edward David Cates, MD

  • Family Medicine Physician
  • Lacey, WA
National Provider Identifier
1730231127
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00039099 Issued in WA
Practice address
5130 Corporate Center CT SE
Lacey, WA 98503-5957
Phone
(360) 413-8600
Fax
(360) 413-8822
NPI assigned
Jan 17, 2007
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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 MD00039099 WA Primary

Addresses

Primary practice location

5130 Corporate Center CT SE
Lacey, WA 98503-5957

Mailing address

5130 Corporate Center CT SE
Lacey, WA 98503-5957
Phone (360) 413-8600

Other identifiers 3

IdentifierTypeStateIssuer
158735OtherWAL&I
1730231127OtherWANPI
8290041MedicaidWA

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
I20090420000237 WA Practitioner - Family PracticePractitioner - Vascular Surgery 9739236340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Family Practice, PLLC Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 26, 2026 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 26, 2026 Accepting new patients
Capital Medical Center Physicians LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Capital Medical Center Physicians LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

5130 Corporate Center Ct SE
Lacey, WA 98503
Phone (360) 413-8600

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCGAA

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 2

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1730231127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 CORPORATE CENTER CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035957",
            "telephone_number": "360-413-8600",
            "fax_number": "360-413-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 CORPORATE CENTER CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035957",
            "telephone_number": "360-413-8600",
            "fax_number": "360-413-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "EDWARD",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00039099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "158735",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730231127",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8290041",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.