ETHAN ESTOOS MD – NPI #1609306828
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

ETHAN ESTOOS is a physician located in KENNEWICK, WA. NPPES has assigned the NPI number 1609306828 to ETHAN ESTOOS on June 20, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 4 years ago on Sep 12, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHAN ESTOOS below.

NPI Profile for
ETHAN ESTOOS

NPI Number
1609306828
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ETHAN ESTOOS
Credentials
MD
Primary location
3810 PLAZA WAY
KENNEWICK, WA 99338-2722
Phone: (509) 221-5980 Fax:
3 Other location(s):
4440 W. 95th Street
Advocate Christ Medical Center
Oak Lawn, IL 60453
Phone: (708) 684-5375
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone: (541) 768-5111
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-7551
Fax: (503) 494-4997
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Sep 12, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)		 WA MD61245243
207P00000X
- Emergency Medicine		 OR MD197145

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3600 NW SAMARITAN DR,
CORVALLIS, OR 77025-1669

Additional Information

Education
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE - Graduated 2017
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ETHAN ESTOOS is affiliated with the following medical group(s):
  • HOSPITAL
    • TRIOS HEALTH
      900 SOUTH AUBURN STREET
      KENNEWICK, WA 99336

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.