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ROYDEL YABUT MD
NPI 1164112652
Student in an Organized Health Care Education/Training Program in Olympia, WA

Active since May 09, 2023PECOS Enrolled
413 LILLY RD NE, OLYMPIA, WA 98506(360) 491-9480 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roydel Yabut Md NPPES

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

ROYDEL YABUT MD (NPI 1164112652) is an individual student in an organized health care education/training program in Olympia, Washington and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in West Covina.

NPPES Registry Identity

NPI1164112652
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROYDEL YABUTCredential: MD
Location Address413 LILLY RD NEOlympia, WA 98506-5133
Mailing Address1571 ReefWest Covina, CA 91790-3390
Phone(360) 491-9480
Sole ProprietorNo
Enumeration DateMay 9, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1164112652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
413 LILLY RD NE, Olympia, WA 98506
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Secondary Practice Location 1

Location 11571 ReefWest Covina, CA 91790-3390 · Phone (626) 290-6717

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roydel Yabut Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY HOWARD MD
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 491-9480
DR. PENELOPE ANNE GOODE M.D.
Emergency Medicine
413 LILLY RD NE, OLYMPIA EMERGENCY SERVICES
OLYMPIA, WA 98506
Thurston County (360) 493-4554
MR. URIEL JIMENEZ SANCHEZ
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7179
DANIEL HU
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-5438
RAFFY JATAMOSA
Nurse Practitioner
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 491-9480
CHANH TAM NGUYEN
Student in an Organized Health Care Education/Training Program
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7525
SUSAN A DERRY MD
Emergency Medicine
413 LILLY RD NE, MSDDH09
OLYMPIA, WA 98506
Thurston County (360) 918-0119
AMORY E.W. BALLANTINE LICSW
Social Worker (Clinical)
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 491-9480

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 Roydel Yabut's NPI number?

The NPI number for Roydel Yabut is 1164112652. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Roydel Yabut located?

Roydel Yabut practices at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 491-9480.

What is Roydel Yabut's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Roydel Yabut enrolled in Medicare?

Yes. Roydel Yabut is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roydel Yabut was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.