Individual provider Active NPI

John Isidro Ibarra, M.D.

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1881606408
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60707440 Issued in WA
Practice address
101 W 8TH Ave
Spokane, WA 99204-2307
Phone
(509) 474-3260
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X P2009 TX
Hospitalist Physician 208M00000X MD60707440 WA
Hospitalist Physician 208M00000X MD25839 ME
Internal Medicine Physician 207R00000X MD60707440 WA Primary

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99204-2307

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421

Other practice location 1

7000 North Mopac
Suite #420
Austin, TX 78731
Phone (512) 482-0045

Other practice location 2

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 283-7937

Other practice location 3

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

Other identifiers 1

IdentifierTypeStateIssuer
125718-01MedicaidAZ

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
I20170222000552 WA Practitioner - Internal Medicine 2961407697 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services WashingtonGroup PAC ID 0345139929, 778 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

Hospital & facility affiliations

  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2009TXMDHospitalist Physician
MD60707440WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince May 21, 2022 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince May 23, 2024 Accepting new patients
Capital Medical Center Specialty Physicians, LLC Hospitalist CurrentSince Jun 19, 2018 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince May 21, 2022 Accepting new patients
Providence Health & Services Washington CurrentSince Sep 8, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince May 21, 2022 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Sep 8, 2024 Accepting new patients
Avalon Care Center - Spokane LLC Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Hospital Internists of Texas, LLC Internal Medicine Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

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

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 20

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.

View all 20

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1881606408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-474-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 North Mopac",
            "address_2": "Suite #420",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78731",
            "country_code": "US",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059422",
            "country_code": "US",
            "telephone_number": "207-283-7937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Capital Mall Dr SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028654",
            "country_code": "US",
            "telephone_number": "360-704-4743",
            "fax_number": "360-704-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "JOHN",
        "middle_name": "ISIDRO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P2009",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60707440",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD25839",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60707440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125718-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.