Individual provider Active NPI

Joseph Migliuri, MD

  • Clinical Informatics Physician
  • Fairchild Afb, WA
National Provider Identifier
1861731564
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Informatics PhysicianTaxonomy code 2083C0008X
License
MD60820943 Issued in WA
Practice address
701 Hospital Loop
Fairchild Afb, WA 99011-8704
Phone
(202) 258-2297
NPI assigned
Jan 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics Physician 2083C0008X 036.154106 IL
Clinical Informatics Physician 2083C0008X MD60820943 WA Primary
Pediatrics Physician 208000000X 0101256697 VA
Clinical Informatics Physician 2083C0008X EMC0000515 MI

Addresses

Primary practice location

701 Hospital Loop
Fairchild Afb, WA 99011-8704

Mailing address

504 E 10TH Ave
Spokane, WA 99202-1223
Phone (202) 258-2297

Other practice location 1

220 W Congress St Fl 2
Detroit, MI 48226-3289
Phone (202) 258-2297

Other practice location 2

63 Federal St
Portland, ME 04101-4222
Phone (202) 258-2297

Other practice location 3

250 Parkway Dr Ste 150
Lincolnshire, IL 60069-4340
Phone (202) 258-2297

Other practice location 4

504 E 10th Ave
Spokane, WA 99202-1223
Phone (202) 258-2297

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://access.mhsgenesis.health.mil/ Health Information Exchange (HIE)

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
I20180705002565 WA Practitioner - Pediatric Medicine 1153677174 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101256697VAMDPediatrics Physician
036.154106ILMDClinical Informatics Physician
EMC0000515MIMDClinical Informatics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Organizations & group practices 2

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1861731564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E 10TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021223",
            "telephone_number": "202-258-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HOSPITAL LOOP",
            "city": "FAIRCHILD AFB",
            "state": "WA",
            "postal_code": "990118704",
            "telephone_number": "202-258-2297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W Congress St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482263289",
            "country_code": "US",
            "telephone_number": "202-258-2297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Federal St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014222",
            "country_code": "US",
            "telephone_number": "202-258-2297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Parkway Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lincolnshire",
            "state": "IL",
            "postal_code": "600694340",
            "country_code": "US",
            "telephone_number": "202-258-2297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 E 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021223",
            "country_code": "US",
            "telephone_number": "202-258-2297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGLIURI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-31",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "IL",
            "license": "036.154106",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "WA",
            "license": "MD60820943",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101256697",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "MI",
            "license": "EMC0000515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://access.mhsgenesis.health.mil/",
            "affiliation": "N",
            "endpointDescription": "MHS GENESIS Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "9040 Jackson Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984318704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairchild Afb, WA

Sources for this page

Verify at the official NPI Registry.