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DARA JOLLY MD
NPI 1255549507
Obstetrics & Gynecology - Obstetrics in Renton, WA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
1412 SW 43RD ST, SUITE 200, RENTON, WA 98057(425) 271-4910(425) 264-1041 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dara Jolly Md NPPES

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

DARA JOLLY MD (NPI 1255549507) is an individual obstetrics provider in Renton, Washington, licensed in Washington (MD00048853) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1255549507
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameDARA JOLLYCredential: MD
Location Address1412 SW 43RD ST, SUITE 200Renton, WA 98057-4803
Mailing Address1412 Sw 43rd St, Suite 200Renton, WA 98057-4803 · (425) 271-4910 · Fax (425) 264-1041
Phone(425) 271-4910
Fax(425) 264-1041
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 18, 2007
Last NPPES UpdateDecember 22, 2016
✔ NPI 1255549507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in WA · MD00048853
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
1412 SW 43RD ST, Renton, WA 98057
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dara Jolly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769550318
PECOS Enrollment IDI20081009000035
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. TIMOTHY STEWART MACP, MDIV, LMHCA
Counselor (Mental Health)
1412 SW 43RD ST, SUITE 111
RENTON, WA 98057
King County (425) 496-4411
GABREIL SANTANA
Technician
1412 SW 43RD ST
RENTON, WA 98057
King County (206) 971-8830
AWA TOURAY
Student in an Organized Health Care Education/Training Program
1412 SW 43RD ST
RENTON, WA 98057
King County (646) 474-1822
EVELYN SPIEKER MN, ARNP
Nurse Practitioner (Women's Health)
1412 SW 43RD ST, SUITE 200
RENTON, WA 98057
King County (425) 271-4910
MR. JAMISON R RIDGELEY MD
Ophthalmology
1412 SW 43RD ST, SUITE 206
RENTON, WA 98057
King County (253) 236-5720
PACIFIC RETINA CENTER PLLC
Ophthalmology (Retina Specialist)
1412 SW 43RD ST
RENTON, WA 98057
King County (910) 742-7427
PAVILLE V. CASTILLO
Counselor
1412 SW 43RD ST
RENTON, WA 98057
King County (425) 264-0750
ASSOCIATED VALLEY COUNSELING, LLC
Counselor (Mental Health)
1412 SW 43RD ST, SUITE 111
RENTON, WA 98057
King County (206) 229-5025

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 Dara Jolly's NPI number?

The NPI number for Dara Jolly is 1255549507. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Dara Jolly located?

Dara Jolly practices at 1412 SW 43rd St Suite 200, Renton, WA 98057. The listed phone number is (425) 271-4910.

What is Dara Jolly's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Dara Jolly enrolled in Medicare?

Yes. Dara Jolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dara Jolly accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Dara Jolly 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.

Is Dara Jolly affiliated with any hospitals?

According to CMS data, Dara Jolly is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Dara Jolly was last updated on December 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.