PHILLIP A MEDINA (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1720040371

PHILLIP A MEDINA (MD) is a healthcare provider. based in Renton, Washington. specializing in Sports Medicine (Orthopaedic Surgery) Physician. They hold the professional credentials MD. They hold a License No. MD00028329 (WA). The NPI Number for PHILLIP A MEDINA (MD) is 1720040371

Main info

Male
Sole Proprietor
Name
PHILLIP A MEDINA (MD)
NPI
1720040371
Phone
(425) 226-1180
Address
4361 TALBOT ROAD S
Enumeration Date
6 April 2006
Last Update Date
17 October 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PHILLIP A MEDINA (MD)

  • 4361, Talbot Road South, Renton, King County, Washington, 98055, United States

    #102

    RENTON, WA 98055

    Phone: (425) 226-1180

    Fax: (425) 235-0695

    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 3 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: ABBVIE INC. ($71).

Total Amount

$71

General + Research + Ownership

Payments

3

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$71
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 98055)

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Reviews

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Frequently asked questions

What federal number belongs to PHILLIP A MEDINA (MD)?
The federal identifier for PHILLIP A MEDINA (MD) is NPI 1720040371.
Does this profile mean PHILLIP A MEDINA (MD) is currently active?
Yes — PHILLIP A MEDINA (MD) appears active in the national provider directory.
Can you summarize PHILLIP A MEDINA (MD)'s specialty in plain language?
Clinically, the directory lists PHILLIP A MEDINA (MD) with Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is PHILLIP A MEDINA (MD)'s primary listing?
We display Renton, Washington because that is what the record indicates for PHILLIP A MEDINA (MD).
What if Renton, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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