NPIMap

Individual provider Active NPI

Emmanuel M Yruma, M.D.

  • Internal Medicine Physician
  • Monroe, WA
National Provider Identifier
1982642567
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00039096 Issued in WA
Practice address
14701 179TH Ave SE
Monroe, WA 98272-1108
Phone
(360) 794-7497
Fax
(360) 618-7662
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00039096 WA Primary

Addresses

Primary practice location

14701 179TH Ave SE
Monroe, WA 98272-1108

Mailing address

PO Box 646
Monroe, WA 98272-0646
Phone (360) 794-7497

Other identifiers 3

IdentifierTypeStateIssuer
2160YROtherWABSWA
8270373MedicaidWA
0202161OtherWALIWA

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
I20051004000476 WA Practitioner - HospitalistPractitioner - Internal Medicine 7113952615 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Washington School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14841 179TH Ave SE
Suite 140
Monroe, WA 98272-1127
Phone (360) 794-1415

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Oct 1, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jun 1, 2016 Accepting new patients
King County Public Hospital District No 2 CurrentSince Oct 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jun 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of California-San Bernardino, PC Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
Public Hospital District 1 of Snohomish County CurrentSince Jun 1, 2016 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Public Hospital District No 1 of Snohomish County CurrentSince Jun 1, 2016 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine Past Accepting new patients

Locations

328 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

875 Wesley St
Ste 240
Arlington, WA 98223
Phone (360) 435-1148

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

903 Medical Center Dr
Ste 300
Arlington, WA 98223
Phone (360) 435-0242

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

14841 179th Ave SE
Ste 140
Monroe, WA 98272
Phone (360) 794-1415

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: eyruma13399@skagit.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1982642567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982720646",
            "telephone_number": "360-794-7497",
            "fax_number": "360-435-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 179TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721108",
            "telephone_number": "360-794-7497",
            "fax_number": "360-618-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YRUMA",
        "first_name": "EMMANUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00039096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "2160YR",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8270373",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0202161",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

Verify at the official NPI Registry.