NPIMap

Individual provider Active NPI

Raymond Solis Aguilar, MD

  • Family Medicine Physician
  • Renton, WA
National Provider Identifier
1871024083
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60973707 Issued in WA
Practice address
14410 SE Petrovitsky Rd Ste 104
Renton, WA 98058-8900
Phone
(425) 690-3405
Fax
(425) 690-9405
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Medical Group-Renton 419 clinicians

Practice addresses (Care Compare)

14410 SE Petrovitsky Rd
Suite 104
Renton, WA 98058-8900
Phone (425) 656-4242

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Federal Way, WA, CCN 507132
  • Valley Medical Center Hospital, Renton, WA, CCN 500088
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519000670 WA Practitioner - Family Practice 5092146431 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60973707WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Valley Medical Group-Renton Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Jul 28, 2020 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jul 28, 2020 Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients

Locations

7438 S D Ave
Ste A
Concrete, WA 98237
Phone (360) 853-8183

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

9710 State Ave
Marysville, WA 98270
Phone (360) 653-1742

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

14410 SE Petrovitsky Rd
Ste 104
Renton, WA 98058
Phone (425) 656-4242

3600 Lind Ave SW
Ste 100
Renton, WA 98057

Interoperability endpoints

  • Direct secure messaging: raguilar118694@direct.valleymed.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD60973707 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

14410 SE Petrovitsky Rd Ste 104
Renton, WA 98058-8900

Mailing address

14410 SE Petrovitsky Rd Ste 104
Renton, WA 98058-8900
Phone (425) 690-3405

Other practice location 1

17707 W Main St Fl 1
Monroe, WA 98272-1967
Phone (360) 282-3885 ext. 13022

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2024.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1871024083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 SE PETROVITSKY RD STE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588900",
            "telephone_number": "425-690-3405",
            "fax_number": "425-690-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 SE PETROVITSKY RD STE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588900",
            "telephone_number": "425-690-3405",
            "fax_number": "425-690-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17707 W Main St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721967",
            "country_code": "US",
            "telephone_number": "360-282-3885 x13022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "RAYMOND",
        "middle_name": "SOLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60973707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.