NPIMap

Individual provider Active NPI

Leah G Kobes-Jurgens, M.D.

  • Family Medicine Physician
  • Deer Park, WA
National Provider Identifier
1982050779
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60888534 Issued in WA
Practice address
20 E J St Ste 2B
Deer Park, WA 99006-8500
Phone
(509) 276-8012
Fax
(509) 276-8350
NPI assigned
May 11, 2016
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 MD60888534 WA Primary

Addresses

Primary practice location

20 E J St Ste 2B
Deer Park, WA 99006-8500

Mailing address

20 E J St Ste 2B
Deer Park, WA 99006-8500
Phone (509) 276-8012

Other identifiers 1

IdentifierTypeStateIssuer
2061253MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkobes425242@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620000911 WA Practitioner - Family Practice 5698009918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pioneer Family Medicine PLLCGroup PAC ID 8729402664, 3 clinicians

Practice addresses (Care Compare)

20 E J St
Deer Park, WA 99006-8500
Phone (509) 276-8012

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Family Medicine, PLLC CurrentSince Jul 14, 2020 Accepting new patients
Multicare Health System CurrentSince Aug 12, 2019 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 12, 2019 Accepting new patients

Locations

20 E J St
Deer Park, WA 99006
Phone (509) 276-8012

20 E J St
#2B
Deer Park, WA 99006
Phone (509) 276-8012

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22454/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leah.kobes.1@22454.direct.athenahealth.com
  • Direct secure messaging: lkobes425242@wm.providencedirect.org

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.

Hospital & facility affiliations 5

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1982050779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E J ST STE 2B",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990068500",
            "telephone_number": "509-276-8012",
            "fax_number": "509-276-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E J ST STE 2B",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990068500",
            "telephone_number": "509-276-8012",
            "fax_number": "509-276-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBES-JURGENS",
        "first_name": "LEAH",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60888534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061253",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkobes425242@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "624 E Front Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992022139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deer Park, WA

Sources for this page

Verify at the official NPI Registry.