NPIMap

Organization Active NPI

DFW Rheumatology, PLLC

  • Infectious Disease Physician
  • Everett, WA
National Provider Identifier
1902392954
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
DFW RHEUMATOLOGY, PLLC
Practice address
906 SE Everett Mall Way Ste 400
Everett, WA 98208-3700
Phone
(833) 696-3349
Fax
(972) 499-9210
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Melissa Coronado
Title
VP of Managed Care
Phone
(833) 696-3349

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

906 SE Everett Mall Way Ste 400
Everett, WA 98208-3700

Mailing address

15301 Spectrum Dr Ste 330
Addison, TX 75001-6462
Phone (833) 696-3349

Other practice location 1

505 NE 87th Ave Ste 205
Vancouver, WA 98664-1988
Phone (833) 696-3349

Other practice location 2

1901 S Union Ave Ste 3003
Tacoma, WA 98405-1702
Phone (833) 696-3349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180907000415 TX Part B Supplier - Clinic/Group Practice 4688924970 Receives reassigned benefits from 3 practitioners
Practice locations: Red Oak, TX
O20250617001572 WA Part B Supplier - Clinic/Group Practice 4688924970 Receives reassigned benefits from 7 practitioners
Practice locations: Everett, WA; Bellevue, WA; Vancouver, WA; Tacoma, WA; Renton, WA; Spokane, WA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2950 Northup Way
Ste 202
Bellevue, WA 98004

906 SE Everett Mall Way
Ste 400
Everett, WA 98208

601 S Carr Rd
Ste 350
Renton, WA 98055
Phone (215) 990-9758

9425 N Nevada St
Ste 310
Spokane, WA 99218

9425 N Nevada St
Spokane, WA 99218
Phone (509) 465-8885

505 NE 87th Ave
Ste 205
Vancouver, WA 98664
Phone (360) 869-4200

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1902392954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 SPECTRUM DR STE 330",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016462",
            "telephone_number": "833-696-3349",
            "fax_number": "972-499-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SE EVERETT MALL WAY STE 400",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083700",
            "telephone_number": "833-696-3349",
            "fax_number": "972-499-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 NE 87th Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641988",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "fax_number": "972-499-9210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Union Ave Ste 3003",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051702",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "fax_number": "972-499-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DFW RHEUMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "VP OF MANAGED CARE",
        "authorized_official_telephone_number": "833-696-3349"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.