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IVAN JAVIER REYES-RUFO D.O.
NPI 1780078733
Internal Medicine in Kennewick, WA

Active since March 26, 2015PECOS Enrolled
900 S AUBURN ST, STE A, KENNEWICK, WA 99336(773) 425-0321 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ivan Javier Reyes-rufo D.o. NPPES

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

IVAN JAVIER REYES-RUFO D.O. (NPI 1780078733) is an individual internal medicine provider in Kennewick, Washington, licensed in Washington (OL60557601) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780078733
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameIVAN JAVIER REYES-RUFOCredential: D.O.
Location Address900 S AUBURN ST, STE AKennewick, WA 99336-5621
Mailing Address2101 Steptoe St, 121Richland, WA 99352-8539 · (773) 425-0321
Phone(773) 425-0321
Sole ProprietorYes
Enumeration DateMarch 26, 2015
Last NPPES UpdateJuly 15, 2015
✔ NPI 1780078733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · OL60557601
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.
900 S AUBURN ST, Kennewick, WA 99336
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan Javier Reyes-rufo D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Ivan Reyes-rufo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sapphire At Gresham Rehab, LLC
167 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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.

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.

LOREN KRAUSE, CRNA
Nurse Anesthetist, Certified Registered
900 S AUBURN ST
KENNEWICK, WA 99336
Benton County (503) 372-2740
APRIL RALLO DAVIS D.O.
Anesthesiology
900 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 586-6111
KERN A. KOSTENKO CRNA
Nurse Anesthetist, Certified Registered
900 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 586-5840
DR. MICHAEL ROBERT-REECE PORTER PHARM D
Pharmacist
900 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 586-5816
KENNEWICK PUBLIC HOSPITAL DISTRICT
General Acute Care Hospital
900 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 586-6111
DR. BRYCE CHAD KNAPP PHARMD
Pharmacist
900 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 585-5936
KENNEWICK GENERAL HOSPITAL PHARMACY
General Acute Care Hospital
900 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 586-5788
KEVIN GURNEY D.O.
Emergency Medicine
900 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 586-6111

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 Ivan Reyes-rufo's NPI number?

The NPI number for Ivan Reyes-rufo is 1780078733. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Ivan Reyes-rufo located?

Ivan Reyes-rufo practices at 900 S Auburn St Ste A, Kennewick, WA 99336. The listed phone number is (773) 425-0321.

What is Ivan Reyes-rufo's specialty?

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

Is Ivan Reyes-rufo enrolled in Medicare?

Yes. Ivan Reyes-rufo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivan Reyes-rufo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Reyes-rufo reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). 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 Ivan Reyes-rufo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivan Reyes-rufo was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.