Active NPI
James Dale Rifenbery, M.D.
- Surgery Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00021615
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103427 | Other | WA | L&I |
| 1093863 | Medicaid | WA | |
| RI5641 | Other | WA | REGENCE |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| Center for Minimally Invasive Surgery PLLC | Current | Accepting new patients | |
| Center for Minimally Invasive Surgery PLLC | Surgery | Current | Accepting new patients |
| Post Acute Medical PLLC | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Surgery Physician
- Tacoma, WA
- NPI 1699950253
-
dba Soundview Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Gig Harbor, WA
- NPI 1225377278
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.