| Dfw Rheumatology, PLLC | |
|
906 Se Everett Mall Way Ste 400 Everett WA 98208-3700 | |
| (833) 696-3349 | |
| (972) 499-9210 |
| Full Name | Dfw Rheumatology, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 906 Se Everett Mall Way Ste 400, Everett, Washington |
| Authorized Official Name and Position | Melissa Coronado (VP OF MANAGED CARE) |
| Authorized Official Contact | 8336963349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Rheumatology, PLLC 15301 Spectrum Dr Ste 330 Addison TX 75001-6462 Ph: (833) 696-3349 | Dfw Rheumatology, PLLC 906 Se Everett Mall Way Ste 400 Everett WA 98208-3700 Ph: (833) 696-3349 |
| NPI Number | 1902392954 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Medicare PECOS PAC ID | 4688924970 |
|---|---|
| Medicare Enrollment ID | O20180907000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902392954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | () | Secondary |
| Provider Name | Timothy B Roberson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194059071 PECOS PAC ID: 2567509532 Enrollment ID: I20091023000163 |
| Provider Name | Sunny Bharat Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336583467 PECOS PAC ID: 6406106798 Enrollment ID: I20180907000461 |
| Provider Name | Jake Hutto |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154783843 PECOS PAC ID: 0840692968 Enrollment ID: I20210713000828 |
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