Active NPI
Jose Domingo Masi, MD
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
National Provider Identifier
1962584995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD00023992
- Practice address
- 13103 E Mansfield Avenue
Spokane Valley, WA 99216-1642 - Phone
- (509) 892-2700
- Fax
- (509) 892-2740
- NPI assigned
- Oct 19, 2006
- Last updated
- Feb 17, 2023
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD00023992 | WA | Primary |
Addresses
Primary practice location
13103 E Mansfield Avenue
Spokane Valley, WA 99216-1642
Mailing address
PO Box 3405
Spokane, WA 99220-3405
Phone (509) 892-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023378 | Medicaid | WA | |
| 8173700 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 73.29 of 100
- Quality
- 68.58
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Laboratory, Inc. PS | Current | Accepting new patients | |
| Incyte Pathology, PLLC | Past | Accepting new patients | |
| Puget Sound Institute of Pathology, PLLC | Past | Accepting new patients | |
| Puget Sound Institute of Pathology PLLC | Past | Accepting new patients |
Locations
401 S 12th Ave
Yakima, WA 98902
Phone (509) 248-1831
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pathology Specialist/Technologist
- Yakima, WA
- NPI 1700995966
-
dba Incyte Diagnostics
- Clinical Medical Laboratory
- Spokane Valley, WA
- NPI 1316251358
-
- Anatomic Pathology Physician
- Seattle, WA
- NPI 1992787030
-
- Clinical Medical Laboratory
- Seattle, WA
- NPI 1720392806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1962584995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3405",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203405",
"telephone_number": "509-892-2700",
"fax_number": "509-892-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13103 E MANSFIELD AVENUE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161642",
"telephone_number": "509-892-2700",
"fax_number": "509-892-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASI",
"first_name": "JOSE",
"middle_name": "DOMINGO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD00023992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023378",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8173700",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.