Individual provider Active NPI

William Edwin Kriegsman Jr., MD

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1942273768
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00044109 Issued in WA
Practice address
1322 3Rd St SE
Suite 240
Puyallup, WA 98372-3771
Phone
(253) 697-1420
Fax
(253) 697-1439
NPI assigned
Feb 10, 2006
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00044109 WA Primary

Addresses

Primary practice location

1322 3Rd St SE
Suite 240
Puyallup, WA 98372-3771

Mailing address

PO Box 505
Oakville, WA 98568-0505

Other identifiers 2

IdentifierTypeStateIssuer
197484OtherWALABOR AND INDUSTRY
8411076MedicaidWA

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
I20041130000755 WA Practitioner - Emergency Medicine 9537124664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians

Practice addresses (Care Compare)

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

3920 Capital Mall Dr SW
Olympia, WA 98502-8703

3920 Capital Mall Dr SW
Suite 201
Olympia, WA 98502-8702
Phone (360) 706-6280

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00044109WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Family Medicine CurrentSince Dec 4, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Oct 19, 2021 Accepting new patients
Pacific County Hospital District 2 PastSince Aug 1, 2012 Accepting new patients
Pacific County Hospital District 2 Family Medicine Past Accepting new patients

Locations

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

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

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

Interoperability endpoints

  • Direct secure messaging: wkriegsmanmd5328@direct.multicare.org

Organizations & group practices 5

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 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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1942273768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985680505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 3RD ST SE",
            "address_2": "SUITE 240",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723771",
            "telephone_number": "253-697-1420",
            "fax_number": "253-697-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGSMAN",
        "first_name": "WILLIAM",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00044109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "197484",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8411076",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.