DR. EMITIS K HOSODA (M.D.) – Specialist, NPI 1104994250

DR. EMITIS K HOSODA (M.D.) is a healthcare provider. based in Enumclaw, Washington. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. MD000040765 (WA). The NPI Number for DR. EMITIS K HOSODA (M.D.) is 1104994250

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMITIS K HOSODA (M.D.)
NPI
1104994250
Phone
(360) 802-0803
Address
1427 JEFFERSON AVE
Enumeration Date
30 November 2006
Last Update Date
12 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
3072400530
Group Practice PAC ID
5799672234
Professional Enrollment ID
I20040618001349
Address ID
WA980223649En1427XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

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Provider Addresses for DR. EMITIS K HOSODA (M.D.)

  • Becker Cosmetics Center, 1427, Jefferson Avenue, Enumclaw, King County, Washington, 98022, United States

    SUITE # 102

    ENUMCLAW, WA 980223649

    Phone: (360) 802-0803

    Fax: (360) 802-0806

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $975.

Total Amount is formed as General ($975) + Research ($0) + Ownership ($0) = $975.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Abbott Laboratories ($191).

Total Amount

$975

General + Research + Ownership

Payments

35

Total payment records

General Amount

$975

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-18

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
I20040618001349IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes21551$0
View full utilization report →

Insurance plans in this area (ZIP 98022)

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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: 5799672234View full group profile
NameSpecialtyState
Nurse PractitionerWA

Reviews

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Frequently asked questions

How is DR. EMITIS K HOSODA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. EMITIS K HOSODA (M.D.) with NPI 1104994250.
Does CMS list DR. EMITIS K HOSODA (M.D.) as active?
Yes — DR. EMITIS K HOSODA (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. EMITIS K HOSODA (M.D.)?
For research purposes, treat DR. EMITIS K HOSODA (M.D.) as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. EMITIS K HOSODA (M.D.) based?
DR. EMITIS K HOSODA (M.D.) is tied to Enumclaw, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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