MR. HARUNA DIBBA PA-C
NPI 1710628631
Physician Assistant - Surgical in Kirkland, WA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
75.66/100
CMS Quality Rating
11911 NE 132ND ST STE 200, KIRKLAND, WA 98034(425) 899-5800 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2026, Nov 4, 2025, Apr 5, 2022 (3 updates tracked since 2022).

About Mr. Haruna Dibba Pa-c NPPES

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

MR. HARUNA DIBBA PA-C (NPI 1710628631) is an individual surgical provider in Kirkland, Washington, licensed in Washington (PA70026449) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of University Of Wisconsin School Of Medicine (2022).

NPPES Registry Identity

NPI1710628631
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. HARUNA DIBBACredential: PA-C
Location Address11911 NE 132ND ST STE 200Kirkland, WA 98034-2900
Mailing Address11911 Ne 132nd St Ste 200Kirkland, WA 98034-2900 · (425) 899-5800
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1710628631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA70026449
11911 NE 132ND ST STE 200, Kirkland, WA 98034

Accepted 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

Mr. Haruna Dibba Pa-c 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 ID7416339205
PECOS Enrollment IDI20251113004067
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.

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.

Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
21 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500084
Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County
Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.27
Promoting Interoperability99
Improvement Activities40
Cost50.45

Other Providers at the Same Location NPPES 5

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

Urology
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
Urology
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
Nurse Practitioner (Family)
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
Nurse Practitioner (Family)
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
Urology
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034

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 Haruna Dibba's NPI number?

The NPI number for Haruna Dibba is 1710628631. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Haruna Dibba located?

Haruna Dibba practices at 11911 NE 132nd St Ste 200, Kirkland, WA 98034. The listed phone number is (425) 899-5800.

What is Haruna Dibba's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Haruna Dibba enrolled in Medicare?

Yes. Haruna Dibba 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 Haruna Dibba accept?

Health plans from Group Health Cooperative-SCW, Network Health and Quartz list Haruna Dibba 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 Haruna Dibba affiliated with any hospitals?

According to CMS data, Haruna Dibba is affiliated with Evergreenhealth Monroe, Evergreenhealth Medical Center and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Haruna Dibba was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.