DR. JOSE GOMEZ BAUTISTA MD
NPI 1508354010
Internal Medicine in Spokane, WA

Q: What is Jose Gomez Bautista's NPI number?

The NPI number for Jose Gomez Bautista is 1508354010. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Jose Gomez Bautista's specialty?

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

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment

624 E FRONT AVE, SPOKANE, WA 99202(509) 626-9900(509) 626-9917 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2021, Jun 11, 2021, Apr 30, 2018 (3 updates tracked since 2018).

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About Dr. Jose Gomez Bautista Md NPPES

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

DR. JOSE GOMEZ BAUTISTA MD (NPI 1508354010) is an individual internal medicine provider in Spokane, Washington, licensed in Washington (MD61127903) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508354010

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JOSE GOMEZ BAUTISTACredential: MD

Location Address624 E FRONT AVESpokane, WA 99202-2139

Mailing Address1829 W 25th CtKennewick, WA 99337-3613 · (509) 579-9141

Phone(509) 626-9900

Fax(509) 626-9917

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateApril 30, 2018

Last NPPES UpdateOctober 19, 20213 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1508354010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD61127903

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

624 E FRONT AVE, Spokane, WA 99202

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Secondary Practice Locations 2

Location 1101 W 8th Ave # 9NSpokane, WA 99204-2307 · Phone (509) 710-7855 · Fax (509) 474-3245

Location 2401 W Poplar StWalla Walla, WA 99362-2846 · Phone (509) 897-2980 · Fax (509) 897-5184

Accepted Insurance

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

Dr. Jose Gomez Bautista 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 ID4587064209

PECOS Enrollment IDI20210616002430

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.

Medicare Billing Reassignments

Medicare enrollment records show Jose Gomez Bautista reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington

0.9 mi

Pulmonary Disease

101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR
Spokane, WA 99204

Reassigned Medicare billing, Washington enrollment
862 clinicians in this Medicare group

NPI 1194099390 (509) 474-2072

Washington Pac Services PC

5.9 mi

Hospitalist

1224 E WESTVIEW CT
Spokane, WA 99218

Reassigned Medicare billing, Washington enrollment
105 clinicians in this Medicare group

NPI 1336678168 (865) 693-1000

Providence Health & Services - Washington

119 mi

Neurological Surgery

301 W POPLAR ST STE 50
Walla Walla, WA 99362

Reassigned Medicare billing, Washington enrollment
276 clinicians in this Medicare group

NPI 1760636690 (509) 522-1030

Cs Pacs 3 Northwest, LLC

232 mi

Hospitalist

2508 7TH ST SE
Puyallup, WA 98374

Reassigned Medicare billing, Washington enrollment
91 clinicians in this Medicare group

NPI 1811752066 (253) 841-6600

Wa Pacs 2 PC

241 mi

Hospitalist

4755 S 48TH ST
Tacoma, WA 98409

Reassigned Medicare billing, Washington enrollment
104 clinicians in this Medicare group

NPI 1144706532 (865) 693-1000

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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

287 services49 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

262 services103 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

173 services162 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

92 services50 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

84 services81 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

47 services41 patients

Hospital Affiliations CMS Care Compare

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500002

Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99202 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers49 claims49 services$19.79 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers38 claims38 services$98.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JEFFREY TODD KILCUP DO

Internal Medicine