ENUMCLAW INTERNAL MEDICINE AND DIAGNOSTICS, PS
NPI 1023281623
Internal Medicine in Enumclaw, WA

Active since April 04, 2008CLIA 50D1045821 · Waiver
1427 JEFFERSON AVE, SUITE # 102, ENUMCLAW, WA 98022(360) 802-0803(360) 802-0806 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Enumclaw Internal Medicine And Diagnostics, Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENUMCLAW INTERNAL MEDICINE AND DIAGNOSTICS, PS (NPI 1023281623) is a healthcare organization registered as an internal medicine in Enumclaw, Washington and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Emitis K Hosoda, President, as its authorized official.

NPPES Registry Identity

NPI1023281623
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameENUMCLAW INTERNAL MEDICINE AND DIAGNOSTICS, PS
Location Address1427 JEFFERSON AVE, SUITE # 102Enumclaw, WA 98022-3649
Mailing Address1427 Jefferson Ave, Suite # 102Enumclaw, WA 98022-3649 · (360) 802-0803 · Fax (360) 802-0806
Fax(360) 802-0806
Organization SubpartNo
Authorized OfficialEmitis K HosodaPresident · (360) 802-0803
Enumeration DateApril 4, 2008
Last NPPES UpdateOctober 10, 2018
✔ NPI 1023281623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1427 JEFFERSON AVE, Enumclaw, WA 98022

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enumclaw Internal Medicine And Diagnostics, Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Enumclaw Internal Medicine And Diagnostics, Ps, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1346434552
1427 JEFFERSON AVE 102
Enumclaw, WA 98022
(360) 802-0803
✔ PECOSSame address
Internal Medicine
NPI 1104994250
1427 JEFFERSON AVE SUITE # 102
Enumclaw, WA 98022
(360) 802-0803
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D1045821

Enumclaw Internal Medicine And Diagnostics · Enumclaw, WA
Active · expires Apr 4, 2028
CLIA Number50D1045821
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2009
Certificate Expiration DateApril 4, 2028
Laboratory DirectorEmitis Hosoda
Laboratory Phone(360) 226-3672
Laboratory LocationEnumclaw Internal Medicine And Diagnostics1427 Jefferson Ave Ste 202, Enumclaw, WA 98022
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enumclaw Internal Medicine And Diagnostics, Ps's NPI number?

The NPI number for Enumclaw Internal Medicine And Diagnostics, Ps is 1023281623. It was assigned to this organization in the NPPES registry on April 4, 2008.

Where is Enumclaw Internal Medicine And Diagnostics, Ps located?

Enumclaw Internal Medicine And Diagnostics, Ps is located at 1427 Jefferson Ave Suite # 102, Enumclaw, WA 98022. The listed phone number is (360) 802-0803.

What is Enumclaw Internal Medicine And Diagnostics, Ps's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Enumclaw Internal Medicine And Diagnostics, Ps enrolled in Medicare?

Yes. Enumclaw Internal Medicine And Diagnostics, Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Enumclaw Internal Medicine And Diagnostics, Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Enumclaw Internal Medicine And Diagnostics, Ps, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Enumclaw Internal Medicine And Diagnostics, Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1045821) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Enumclaw Internal Medicine And Diagnostics, Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Enumclaw Internal Medicine And Diagnostics, Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Enumclaw Internal Medicine And Diagnostics, Ps was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.