Active NPI
Peresi Kahirimbanyi Mugisha, M.D
- Family Medicine Physician
- Pasco, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD 60193720
- Practice address
- 7425 Wrigley Dr Ste 100
Pasco, WA 99301-5292 - Phone
- (509) 416-8888
- Fax
- (509) 545-6842
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 60193720 | WA | Primary |
| Family Medicine Physician | 207Q00000X | 25754 | OK |
Addresses
Primary practice location
7425 Wrigley Dr Ste 100
Pasco, WA 99301-5292
Mailing address
7505 Sandifur Pkwy Ste 103
Pasco, WA 99301-8062
Phone (833) 411-5469
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25754 | OK | MD | Family Medicine Physician |
| MD 60193720 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Hospital LLC | Family Medicine | Current | Accepting new patients |
| Lourdes Hospital LLC | Current | Accepting new patients | |
| Lourdes Hospital LLC | Past | Accepting new patients | |
| Our Lady of Lourdes Health Center | Family Medicine | Past | Accepting new patients |
Locations
7425 Wrigley Dr
Ste 100
Pasco, WA 99301
Phone (509) 416-8888
7425 Wrigley Dr
Pasco, WA 99301
Phone (509) 416-8888
507 N 5th Ave
Pasco, WA 99301
Phone (509) 543-1975
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536
520 N 4th Ave
Ste 1000
Pasco, WA 99301
7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027
7425 Wrigley Dr
Ste 1000
Pasco, WA 99301
1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Pasco, WA
- NPI 1831284280
-
- Psychiatric Hospital
- Richland, WA
- NPI 1548342181
-
- Family Medicine Physician
- Pasco, WA
- NPI 1184708471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1790015766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 SANDIFUR PKWY STE 103",
"city": "PASCO",
"state": "WA",
"postal_code": "993018062",
"telephone_number": "833-411-5469",
"fax_number": "509-542-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 WRIGLEY DR STE 100",
"city": "PASCO",
"state": "WA",
"postal_code": "993015292",
"telephone_number": "509-416-8888",
"fax_number": "509-545-6842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUGISHA",
"first_name": "PERESI",
"middle_name": "KAHIRIMBANYI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD 60193720",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "25754",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.