Individual provider Active NPI

James P Pepka, D. O.

  • Family Medicine Physician
  • Auburn, WA
National Provider Identifier
1821136086
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001248 Issued in WA
Practice address
3830 A St SE Ste 204
Auburn, WA 98002-8611
Phone
(253) 804-9190
Fax
(253) 804-5797
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 OP00001248 WA Primary

Addresses

Primary practice location

3830 A St SE Ste 204
Auburn, WA 98002-8611

Mailing address

614 S 17TH St
Renton, WA 98055-4262
Phone (360) 739-4020

Other practice location 1

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 501-3601

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
I20120815000042 WA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4688820277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tran Urgent Care and Wellness Centers LLCGroup PAC ID 5890116677, 6 clinicians

Practice addresses (Care Compare)

516 S 38TH St
Suite a
Tacoma, WA 98418-6714
Phone (253) 719-7767

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tran Urgent Care & Wellness Centers LLC Family Medicine CurrentSince May 26, 2022 Accepting new patients
Multicare Health System CurrentSince Jul 8, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jul 8, 2024 Accepting new patients
Clearview Clinic Past Accepting new patients
Impact Health Biometric Testing, Inc. Past Accepting new patients

Locations

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

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

3000 Limited Ln NW
Olympia, WA 98502
Phone (360) 357-9392

710 S 38th St
Ste B
Tacoma, WA 98418
Phone (253) 719-7767

516 S 38th St
Ste A
Tacoma, WA 98418
Phone (206) 579-8905

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21373/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.pepka.1@21373.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1821136086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S 17TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554262",
            "telephone_number": "360-739-4020",
            "fax_number": "253-804-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 A ST SE STE 204",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028611",
            "telephone_number": "253-804-9190",
            "fax_number": "253-804-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-501-3601",
            "fax_number": "360-501-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPKA",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.