DR. DAVID OWSHALIMPUR (MD) – Internal Medicine Physician, NPI 1720147622

DR. DAVID OWSHALIMPUR (MD) is a healthcare provider. based in Tacoma, Washington. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01096148A (IN). The NPI Number for DR. DAVID OWSHALIMPUR (MD) is 1720147622

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID OWSHALIMPUR (MD)
NPI
1720147622
Phone
(253) 968-1110
Address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Enumeration Date
6 December 2006
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4063277000
Graduation Year
2003 (23 years ago)
PAC ID
4587853965
Group Practice PAC ID
6608786306
Professional Enrollment ID
I20250128003779
Address ID
MT598081395MI3055XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness85
Years active:19State licenses:13Digital endpointsOther names

279 NEPHROLOGY in WA

Provider Addresses for DR. DAVID OWSHALIMPUR (MD)

  • MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE

    TACOMA, WA 984310001

    Phone: (253) 968-1110

    Type: Location

  • Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States

    9040 JACKSON AVE

    TACOMA, WA 984310001

    Phone: (253) 968-1485

    Type: Mailing

  • Madigan Army Medical Center 9040 Jackson Ave

    Tacoma, WA 984310001

    Phone: (253) 968-1110

    Type: Location

  • 3055 N Reserve St Ste D

    Missoula, MT 598081395

    Phone: (406) 327-7000

    Fax: (406) 329-1927

    Type: Location

  • 1010 Three Springs Blvd Ste 255

    Durango, CO 813018296

    Phone: (970) 764-3825

    Fax: (970) 764-3839

    Type: Location

  • PO BOX 211699

    EAGAN, MN 551213699

    Phone: (866) 849-0692

    Type: Mailing

  • 1220 MAIN ST STE 400

    VANCOUVER, WA 986602963

    Phone: (866) 849-0692

    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: 2026-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250128003779INephrologyMTTBD
I20260302003040INephrologyCOTBD

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 98431)

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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: 6608786306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineWA
Cardiovascular Disease (Cardiology)MT
-MT
N E P H R O L O G YMT
-MT
Thoracic SurgeryIL
Internal Medicine, HospitalistMT
General Surgery, Colorectal Surgery (Proctology)WI
Internal MedicineID
Nurse PractitionerAK

Reviews

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Frequently asked questions

What is DR. DAVID OWSHALIMPUR (MD)'s NPI number?
DR. DAVID OWSHALIMPUR (MD)'s NPI is 1720147622 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. DAVID OWSHALIMPUR (MD)?
For scheduling context, DR. DAVID OWSHALIMPUR (MD) is shown as active in the registry.
What clinical focus is listed for DR. DAVID OWSHALIMPUR (MD)?
At a glance, DR. DAVID OWSHALIMPUR (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DAVID OWSHALIMPUR (MD)?
Travel planning: use Tacoma, Washington as the reference point for DR. DAVID OWSHALIMPUR (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.