Individual provider Active NPI

Katisha Denise Eng, MD

  • Emergency Medicine Physician
  • Kent, WA
National Provider Identifier
1740464742
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60511975 Issued in WA
Practice address
222 State Ave N
Kent, WA 98030-4544
Phone
(253) 372-7788
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60511975 WA Primary
Emergency Medicine Physician 207P00000X 0101245816 VA

Addresses

Primary practice location

222 State Ave N
Kent, WA 98030-4544

Mailing address

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

Other names 1

  • Katisha Baldwin Former name

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
I20150401000240 WA Practitioner - Emergency MedicinePractitioner - Family Practice 0042537003 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JS Weill Medical College, Cornell University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (360) 825-2505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101245816VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Observation Associates PC CurrentSince Nov 4, 2017 Accepting new patients
Washington Emergency Physician Partners, PLLC Emergency Medicine CurrentSince May 16, 2016 Accepting new patients
Washington Emergency Physician Partners PLLC Emergency Medicine CurrentSince May 16, 2016 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Feb 25, 2015 Accepting new patients
Multicare Health System CurrentSince Feb 25, 2015 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince May 15, 2017 Accepting new patients

Locations

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

Organizations & group practices 7

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 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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1740464742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 STATE AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304544",
            "telephone_number": "253-372-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STATE AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304544",
            "telephone_number": "253-372-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "KATISHA",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60511975",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101245816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATISHA",
            "last_name": "BALDWIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.