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Physician Profile

Esravila A. Wibisono, MD

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Where to find Esravila A. Wibisono, MD

About Dr. Wibisono

Esravila A. Wibisono, MD is a healthcare provider in Bonney Lake, WA specializing in internal medicine. Esravila is also listed as specializing in student in an organized health care education program. This provider record is associated with NPI 1972233708.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Medical School Other Graduated: 2018

Specialty

Internal Medicine (Primary)

Credentials & Licensing

WA licenceAs reported to the NPI registry
No. MD61603415As reported
CT licenceAs reported to the NPI registry
No. 06-0646844As reported
NPINational Provider Identifier
1972233708Issued 2022

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Wibisono's specialty?

Dr. Wibisono is an internist in Bonney Lake, WA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.

NPI registry

Where can I find Dr. Wibisono?

Dr. Wibisono is listed at 10004 204Th Ave E Ste 2200, Bonney Lake, WA 98391. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Wibisono?

The number on file is (253) 447-3300. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Wibisono's NPI number?

Dr. Wibisono's National Provider Identifier is 1972233708. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Dr. Wibisono's medical education?

Dr. Wibisono attended Other, graduating in 2018. This comes from the CMS National Downloadable File.

CMS public data

How long has Dr. Wibisono been practicing?

Dr. Wibisono has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.

CMS public data

Has Dr. Wibisono confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wibisono. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.