Active NPI
Debbierey Bongar, MD
- Hospitalist Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD00049067
- Practice address
- 888 Swift Blvd.
Richland, WA 99352 - Phone
- (509) 946-4611
- Fax
- (509) 942-3115
- NPI assigned
- Jan 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00049067 | WA | |
| Hospitalist Physician | 208M00000X | MD00049067 | WA | Primary |
Addresses
Primary practice location
888 Swift Blvd.
Richland, WA 99352
Mailing address
560 Gage Blvd
Suite 203
Richland, WA 99352-8650
Phone (509) 942-3627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801072137 | Medicaid | WA | |
| 025904 | Other | WA | L&I KRMC GROUP NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbongar1106972@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080715000195 | WA | Practitioner - Hospitalist | 8527131291 | Reassigns benefits to 1 organization |
| I20250204002694 | OR | Practitioner - Hospitalist | 8527131291 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300
Hospital & facility affiliations
- Kadlec Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00049067 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
Locations
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
560 Gage Blvd
Ste 203
Richland, WA 99352
Phone (509) 942-3135
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
945 Goethals Dr
Ste 200
Richland, WA 99352
Phone (509) 942-2555
780 Swift Blvd
Ste 130
Richland, WA 99352
Phone (509) 942-3244
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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Internal Medicine, WA
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Internal Medicine, OR
-
- Clinic/Center
- Kennewick, WA
- NPI 1063967933
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
Internal Medicine
Hospital & facility affiliations 1
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": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1801072137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 GAGE BLVD",
"address_2": "SUITE 203",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528650",
"telephone_number": "509-942-3627",
"fax_number": "509-942-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD.",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-946-4611",
"fax_number": "509-942-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONGAR",
"first_name": "DEBBIEREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00049067",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD00049067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801072137",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I KRMC GROUP NUMBER",
"identifier": "025904",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbongar1106972@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "888 Swift Blvd.",
"city": "Richland",
"state": "WA",
"country_code": "US",
"postal_code": "99352",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.