Individual provider Active NPI

Harold G Preiksaitis, MD

  • Gastroenterology Physician
  • Spokane, WA
National Provider Identifier
1962495283
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD00042906 Issued in WA
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

Updated by the provider on Jul 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8367310MedicaidWA

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
I20031222000375 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 4688572167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
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

ProcedureNumber of procedures
Colonoscopy50
Upper gastrointestinal (GI) endoscopy for acid reflux67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Perry Endoscopy PLLC CurrentSince Apr 16, 2013 Accepting new patients
South Perry Endoscopy PLLC Gastroenterology CurrentSince Sep 1, 2015 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.

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

Verify at the official NPI Registry.