Dustin Kyle Ens, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60983313 Issued in WA

Practice address

16550 177TH Ave SE
Monroe, WA 98272-1968

Phone

(360) 794-2829

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Washington State Department of Corrections-Monroe Correctional Complex

  • Prison Health Clinic/Center
  • Monroe, WA
  • NPI 1588955306
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1972033553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 177TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721968",
            "telephone_number": "360-794-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 177TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721968",
            "telephone_number": "360-794-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENS",
        "first_name": "DUSTIN",
        "middle_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "60983313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Eickerman, MD
• Emeritus Corporation
• Emily Estrada PLLC
• Christi A. Emmons, ARNP
• Alexa Endof-Horn, RD
• Nicole Enslow, HSP, SUDP
• Steven Harold Erickson, PHARMD
• Brian D Ernst, LMP
• Erik Michael Erxleben, LMP
• Zeina Estaitie

• Internal Medicine Physician in Monroe, WA
• Providers in Monroe, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.