Individual provider Active NPI

James Dale Rifenbery, M.D.

  • Surgery Physician
  • Tacoma, WA
National Provider Identifier
1942210653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00021615 Issued in WA
Practice address
1802 So. Yakima Ave
#202
Tacoma, WA 98405
Phone
(253) 572-7120
Fax
(253) 572-1071
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00021615 WA Primary

Addresses

Primary practice location

1802 So. Yakima Ave
#202
Tacoma, WA 98405

Mailing address

1802 So. Yakima Ave
#202
Tacoma, WA 98405
Phone (253) 572-7120

Other identifiers 3

IdentifierTypeStateIssuer
0103427OtherWAL&I
1093863MedicaidWA
RI5641OtherWAREGENCE

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
I20040817000801 WA Practitioner - General Surgery 9133021108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

4755 S 48TH St
Tacoma, WA 98409-1919
Phone (877) 883-9430

5801 Soundview Dr
Suite 156
Gig Harbor, WA 98335-2215
Phone (253) 514-6216

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Washington PLLC CurrentSince Jan 15, 2026 Accepting new patients
Center for Minimally Invasive Surgery PLLC CurrentSince Apr 1, 1992 Accepting new patients
Center for Minimally Invasive Surgery PLLC Surgery CurrentSince Mar 1, 2004 Accepting new patients
Post Acute Medical PLLC CurrentSince Jan 15, 2026 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

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

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

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

4755 S 48th St
Tacoma, WA 98409
Phone (253) 475-4611

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

1802 Yakima Ave
#202
Tacoma, WA 98405
Phone (206) 572-7120

Organizations & group practices 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942210653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 SO. YAKIMA AVE",
            "address_2": "#202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-572-7120",
            "fax_number": "253-572-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 SO. YAKIMA AVE",
            "address_2": "#202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-572-7120",
            "fax_number": "253-572-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFENBERY",
        "first_name": "JAMES",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00021615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0103427",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093863",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "RI5641",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.