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MARIO JAMES GUMINA
NPI 1730822859
Family Medicine in Grandview, WA

Active since April 16, 2022PECOS EnrolledAccepts Medicare Assignment
1000 WALLACE WAY, GRANDVIEW, WA 98930(509) 882-3444 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mario James Gumina NPPES

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

MARIO JAMES GUMINA (NPI 1730822859) is an individual family medicine provider in Grandview, Washington, licensed in Washington (OP61691496) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Astria Sunnyside Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730822859
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARIO JAMES GUMINA
Location Address1000 WALLACE WAYGrandview, WA 98930-8805
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395
Phone(509) 882-3444
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 16, 2022
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1730822859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP61691496
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 WALLACE WAY, Grandview, WA 98930
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.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

Mario James Gumina 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 ID2466836630
PECOS Enrollment IDI20250924001713
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 Reassignment

Medicare enrollment records show Mario Gumina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yakima Valley Farm Workers Clinic
Same address
Federally Qualified Health Center (FQHC)
1000 WALLACE WAY
Grandview, WA 98930
  • Reassigned Medicare billing, Washington enrollment
  • 252 clinicians in this Medicare group
NPI 1134255847 (509) 882-4275

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number501330
Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98930 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
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.

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.

IVAN CRUSE MD
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
MRS. MARCIA KARIN WAGNER M.S., R.D., C.D.
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-4707
DR. LISA NGUYEN DO
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 788-1702
SHEHLA FARHAN HASHMI DENTIST
Dentist
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
BLAKE J BOND M.D.
Family Medicine
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
PAIGE BRIGGS RD
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
YAKIMA VALLEY FARM WORKERS CLINIC
Pharmacy (Community/Retail Pharmacy)
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3977
EDITH ISBEL NORIEGA CORNEJO
Social Worker (Clinical)
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444

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 Mario Gumina's NPI number?

The NPI number for Mario Gumina is 1730822859. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Where is Mario Gumina located?

Mario Gumina practices at 1000 Wallace Way, Grandview, WA 98930. The listed phone number is (509) 882-3444.

What is Mario Gumina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mario Gumina enrolled in Medicare?

Yes. Mario Gumina 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 organization bills Medicare for Mario Gumina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Gumina reassigns Medicare benefits to Yakima Valley Farm Workers Clinic (Grandview, WA). The 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 Mario Gumina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Gumina accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mario Gumina 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 Mario Gumina affiliated with any hospitals?

According to CMS data, Mario Gumina is affiliated with Astria Sunnyside Hospital.

When was this NPI record last updated?

The NPPES record for Mario Gumina was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.