NPIMap

Individual provider Active NPI

David T Jones, MD

  • Cardiovascular Disease Physician
  • Pullman, WA
National Provider Identifier
1922057454
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00040988 Issued in WA
Practice address
825 SE Bishop Blvd Ste 140
Pullman, WA 99163-5517
Phone
(509) 336-7577
NPI assigned
May 10, 2006
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M8492 ID
Cardiovascular Disease Physician 207RC0000X MD00040988 WA Primary

Addresses

Primary practice location

825 SE Bishop Blvd Ste 140
Pullman, WA 99163-5517

Mailing address

825 SE Bishop Blvd Ste 140
Pullman, WA 99163-5517
Phone (509) 336-7577

Other practice location 1

808 Port Dr
Clarkston, WA 99403-6009
Phone (509) 455-8820

Other identifiers 2

IdentifierTypeStateIssuer
806346800MedicaidID
8312365MedicaidWA

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
I20080910000317 WA Practitioner - Cardiovascular Disease (Cardiology) 3678521796 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services WashingtonGroup PAC ID 8729258256, 53 clinicians

Practice addresses (Care Compare)

62 W 7TH Ave
Spokane, WA 99204-2321

808 Port Dr
Clarkston, WA 99403-6009
Phone (509) 455-8820

825 SE Bishop Blvd
Suite 140
Pullman, WA 99163-5517
Phone (509) 455-8820

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8492IDMDCardiovascular Disease Physician
MD00040988WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield County Memorial Hospital District CurrentSince May 15, 2021 Accepting new patients
Garfield County Memorial Hospital District Current Accepting new patients
Garfield County Memorial Hospital District CurrentSince May 15, 2021 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Aug 9, 2023 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Kootenai Health, Inc. Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Tri-State Memorial Hospital Past Accepting new patients
Inland Cardiology Associates, P.S. Cardiovascular Disease PastSince Aug 25, 2014 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

446 Pataha St
Pomeroy, WA 99347
Phone (503) 843-1491

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577

825 SE Bishop Blvd
Ste 601
Pullman, WA 99163
Phone (509) 334-5876

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

840 SE Bishop Blvd
Ste 101
Pullman, WA 99163
Phone (509) 332-6139

Interoperability endpoints

  • Direct secure messaging: djones345097@wm.providencedirect.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1922057454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 140",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-336-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 140",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-336-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Port Dr",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994036009",
            "country_code": "US",
            "telephone_number": "509-455-8820",
            "fax_number": "509-838-4978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M8492",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00040988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806346800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8312365",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.