JOSHUA DAVID LARSON (DO) – Internal Medicine Physician, NPI 1083271761

JOSHUA DAVID LARSON (DO) is a healthcare provider. based in Federal way, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OP61567888 (WA). The NPI Number for JOSHUA DAVID LARSON (DO) is 1083271761

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA DAVID LARSON (DO)
NPI
1083271761
Phone
Not provided
Address
33618 5TH PL SW
Enumeration Date
29 May 2019
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Secondary Phone
3604165750
Graduation Year
2020 (6 years ago)
PAC ID
1850796152
Group Practice PAC ID
6800793522
Professional Enrollment ID
I20240920000918
Address ID
WA982744126MO1415XSTXX400
Telehealth
Yes

Contacts

Secure Messaging
jlarson47726@skagit.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

4,056 INTERNAL MEDICINE in WA

Provider Addresses for JOSHUA DAVID LARSON (DO)

  • 33618, 5th Place Southwest, Federal Way, King County, Washington, 98023, United States

    FEDERAL WAY, WA 980238306

    Phone:

    Type: Mailing

  • 1415 E KINCAID ST

    MOUNT VERNON, WA 982744126

    Phone: (360) 814-2115

    Type: Mailing

  • 1400 E KINCAID ST

    MOUNT VERNON, WA 982744127

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240920000918IInternal MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800793522View full group profile
NameSpecialtyState
D E R M A T O L O G YNY
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical OncologyWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Orthopedic SurgeryWA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
G A S T R O E N T E R O L O G YWA
O T O L A R Y N G O L O G YWA

Reviews

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Frequently asked questions

How is JOSHUA DAVID LARSON (DO) identified in CMS data?
CMS-hosted NPPES data lists JOSHUA DAVID LARSON (DO) with NPI 1083271761.
Does CMS list JOSHUA DAVID LARSON (DO) as active?
Yes — JOSHUA DAVID LARSON (DO) is active in the NPI listing used on this page.
What taxonomy line describes JOSHUA DAVID LARSON (DO)?
For research purposes, treat JOSHUA DAVID LARSON (DO) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JOSHUA DAVID LARSON (DO) based?
JOSHUA DAVID LARSON (DO) is tied to Federal Way, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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