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DR. PRUDENCIO GALVEZ TIBLE MD
NPI 1679663884
General Practice in Seattle, WA

Active since October 16, 2006PECOS Enrolled
5023 S BARTON PLACE, SEATTLE, WA 98118(206) 725-8043(206) 760-1359 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prudencio Galvez Tible Md NPPES

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

DR. PRUDENCIO GALVEZ TIBLE MD (NPI 1679663884) is an individual general practice provider in Seattle, Washington, licensed in Washington (MD00022189) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679663884
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PRUDENCIO GALVEZ TIBLECredential: MD
Location Address5023 S BARTON PLACESeattle, WA 98118
Mailing AddressPo Box 18936Seattle, WA 98118 · (206) 725-8043 · Fax (206) 760-1359
Phone(206) 725-8043
Fax(206) 760-1359
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679663884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · MD00022189
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5023 S BARTON PLACE, Seattle, WA 98118
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Other Identifiers 2

Medicare UPINA06143
Medicaid1035013WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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 (PECOS)

Dr. Prudencio Galvez Tible 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

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

PRUDENCIO G TIBLE MD PC
Clinic/Center
5023 S BARTON PLACE
SEATTLE, WA 98118
King County (206) 725-8043

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 Prudencio Tible's NPI number?

The NPI number for Prudencio Tible is 1679663884. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Prudencio Tible located?

Prudencio Tible practices at 5023 S Barton Place, Seattle, WA 98118. The listed phone number is (206) 725-8043.

What is Prudencio Tible's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Prudencio Tible enrolled in Medicare?

Yes. Prudencio Tible is registered in the Medicare PECOS enrollment system.

What insurance does Prudencio Tible accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Prudencio Tible 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 Prudencio Tible was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.