Active NPI
Harold G Preiksaitis, MD
- Gastroenterology Physician
- Spokane, WA
National Provider Identifier
1962495283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD00042906
- Practice address
- 907 S Perry St Ste 260
Spokane, WA 99202-3462 - Phone
- (509) 456-5433
- NPI assigned
- Aug 23, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD00042906 | WA | Primary |
Addresses
Primary practice location
907 S Perry St Ste 260
Spokane, WA 99202-3462
Mailing address
907 S Perry St Ste 260
Spokane, WA 99202-3462
Phone (509) 868-8816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8367310 | Medicaid | WA |
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
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
907 S Perry St
Suite 260
Spokane, WA 99202-3462
Phone (509) 456-5433
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 50 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 67 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Perry Endoscopy PLLC | Current | Accepting new patients | |
| South Perry Endoscopy PLLC | Gastroenterology | Current | Accepting new patients |
Locations
907 S Perry St
#202
Spokane, WA 99202
Phone (509) 868-8816
907 S Perry St
Ste 260
Spokane, WA 99202
Phone (509) 362-9501
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Spokane, WA
- NPI 1407238173
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1023507183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688774400000",
"number": "1962495283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 S PERRY ST STE 260",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023462",
"telephone_number": "509-868-8816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S PERRY ST STE 260",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023462",
"telephone_number": "509-456-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREIKSAITIS",
"first_name": "HAROLD",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2023-07-08",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00042906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8367310",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.