JACK DANIEL IP M.D.
NPI 1306378864
Internal Medicine in Yakima, WA
About Jack Daniel Ip M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK DANIEL IP M.D. (NPI 1306378864) is an individual internal medicine provider in Yakima, Washington, licensed in Washington (MD61042100) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and maintains a secondary practice location in Reno.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack Daniel Ip M.d. 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.
Medicare Billing Reassignments
13Medicare enrollment records show Jack Ip reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Yakima, WA 98902
- Reassigned Medicare billing, Washington enrollment
- 565 clinicians in this Medicare group
Auburn, WA 98001
- Reassigned Medicare billing, Washington enrollment
- 915 clinicians in this Medicare group
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan enrollment
- 596 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Illinois enrollment
- 419 clinicians in this Medicare group
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 21 clinicians in this Medicare group
Naperville, IL 60563
- Reassigned Medicare billing, District of Columbia, Georgia, Illinois, Kansas, Kentucky, Louisiana, Minnesota, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, Wisconsin and West Virginia enrollments
- 128 clinicians in this Medicare group
Gary, IN 46402
- Reassigned Medicare billing, Indiana enrollment
- 384 clinicians in this Medicare group
Saint John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 55 clinicians in this Medicare group
Lansing, MI 48911
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 236 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Yakima Valley Memorial
Acute Care Hospitals · Yakima, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
YAKIMA, WA 98902
YAKIMA, WA 98902
YAKIMA, WA 98902
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 Jack Ip's NPI number?
The NPI number for Jack Ip is 1306378864. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Jack Ip located?
Jack Ip practices at 2811 Tieton Dr, Yakima, WA 98902. The listed phone number is (509) 575-8000.
What is Jack Ip's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jack Ip enrolled in Medicare?
Yes. Jack Ip 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.
Which organizations bill Medicare for Jack Ip's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Ip reassigns Medicare benefits to 13 organizations: Yakima Valley Memorial Physicians (Yakima, WA), South Sound Inpatient Physicians PLLC (Auburn, WA), Sound Inpatient Physicians - Michigan, PLLC (Escanaba, MI), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Hospitalist Medicine Physicians Of Wisconsin, Ltd (Kenosha, WI) and 8 more organizations, listed in the Medicare section above. Each 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 Jack Ip's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Ip accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Priority Health list Jack Ip 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 Jack Ip affiliated with any hospitals?
According to CMS data, Jack Ip is affiliated with Yakima Valley Memorial.
When was this NPI record last updated?
The NPPES record for Jack Ip was last updated on January 23, 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.
# Jack Daniel Ip, M.D. · NPI 1306378864
Internal Medicine physician in Yakima, Washington. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1306378864 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD61042100 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2811 TIETON DR, Yakima, WA 98902-3761
- **Phone:** (509) 575-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Yakima Valley Memorial Physicians (NPI 1306933940, Yakima, WA); South Sound Inpatient Physicians PLLC (NPI 1215104443, Auburn, WA); Sound Inpatient Physicians - Michigan, PLLC (NPI 1366768178, Escanaba, MI); Sound Physicians Of Illinois, LLC (NPI 1043598865, Bridgeton, MO); Hospitalist Medicine Physicians Of Wisconsin, Ltd (NPI 1699902809, Kenosha, WI); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306378864) · Data from the CMS NPPES public registry.