PETAR JAMBORCIC (MD) – Internal Medicine Physician, NPI 1114990538

PETAR JAMBORCIC (MD) is a healthcare provider. based in Toppenish, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 11074 (NV). The NPI Number for PETAR JAMBORCIC (MD) is 1114990538

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
PETAR JAMBORCIC (MD)
NPI
1114990538
Phone
(509) 865-5600
Address
510 W 1ST AVE
Enumeration Date
8 February 2006
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092483263
Graduation Year
1980 (46 years ago)
PAC ID
4183697030
Group Practice PAC ID
1557391596
Professional Enrollment ID
I20160428000849
Address ID
WA989083962YA4003XLOOP300

Contacts

Secure Messaging
pjamborcic41491@yvfwc.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

4,056 INTERNAL MEDICINE in WA

Provider Addresses for PETAR JAMBORCIC (MD)

  • 510 W 1ST AVE

    TOPPENISH, WA 989481564

    Phone: (509) 865-5600

    Type: Location

  • 4420 76th St NE

    Marysville, WA 982703726

    Phone: (360) 651-7491

    Fax: (360) 651-7481

    Type: Location

  • Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982065127

    Phone: (425) 258-3900

    Type: Mailing

  • 4420, 76th Street Northeast, Marysville, Snohomish County, Washington, 98270, United States

    MARYSVILLE, WA 982703726

    Phone: (360) 651-7491

    Fax: (360) 651-7481

    Type: Location

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: 2016-04-28

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
I20160428000849IInternal 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 98948)

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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: 1557391596View full group profile
NameSpecialtyState
Emergency MedicineWA
Internal MedicineNJ
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Internal MedicineWA
Emergency MedicineWA
-WA
Family PracticeWA
H E M A T O L O G Y/ O N C O L O G YWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for PETAR JAMBORCIC (MD)?
PETAR JAMBORCIC (MD) — NPI 1114990538 — is the standard way to identify this listing.
Can I rely on PETAR JAMBORCIC (MD) being an active provider?
As of the registry snapshot, PETAR JAMBORCIC (MD) is marked active.
What healthcare role does PETAR JAMBORCIC (MD) hold?
Scheduling teams often label PETAR JAMBORCIC (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is PETAR JAMBORCIC (MD) based?
PETAR JAMBORCIC (MD) is tied to Toppenish, Washington in the data we show; additional addresses may exist on the full record.
Why does PETAR JAMBORCIC (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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