Individual provider Active NPI

William E Ashby, M.D.

  • Internal Medicine Physician
  • College Place, WA
National Provider Identifier
1740260876
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00013587 Issued in WA
Practice address
56 N College Ave Unit 2a
College Place, WA 99324-1048
Phone
(509) 529-4850
Fax
(509) 525-5184
NPI assigned
Jan 17, 2006
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD08822 OR
Internal Medicine Physician 207R00000X MD00013587 WA Primary

Addresses

Primary practice location

56 N College Ave Unit 2a
College Place, WA 99324-1048

Mailing address

56 N College Ave Unit 2a
College Place, WA 99324-1048
Phone (509) 529-4850

Other identifiers 3

IdentifierTypeStateIssuer
004465MedicaidOR
1276401MedicaidWA
154990OtherWALABOR & INDUSTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070615000114 WA Practitioner - Internal Medicine 0547369548 Practice locations: Walla Walla, WA
I20070924000487 OR Practitioner - Internal Medicine 0547369548 Reassigns benefits to 1 organization
Practice locations: Milton Freewater, OR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

Practice addresses (Care Compare)

6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD08822ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seleverstov Medical, P.C. Internal Medicine CurrentSince Feb 2, 2025 Accepting new patients
CRM Physicians, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
BD College Place I, LLC Past Accepting new patients

Locations

6800 SW 105th Ave
Beaverton, OR 97008

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

56 N College Ave
Unit 2A
College Place, WA 99324
Phone (509) 529-4850

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Milton Freewater Health & Rehabilitation CenterMilton Freewater, OR, CCN 385161 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Indirect Ownership Interest
Aug 31, 2023
Aug 31, 2023
Aug 31, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1740260876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 N COLLEGE AVE UNIT 2A",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241048",
            "telephone_number": "509-529-4850",
            "fax_number": "509-525-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N COLLEGE AVE UNIT 2A",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241048",
            "telephone_number": "509-529-4850",
            "fax_number": "509-525-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD08822",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00013587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004465",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1276401",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "154990",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

Verify at the official NPI Registry.