Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245971209 Individual Practitioner Male Practitioner

Dr. Russom Desta , MD

Internal Medicine • Everett, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Russom Desta, MD is a certified Internal Medicine practicing in Everett, WA. With approximately 4 years of clinical experience since graduating from Meharry Medical College School Of Medicine in 2022, Dr. Desta delivers high-quality medical care to the local community at 3901 HOYT AVE.

Dr. Desta is affiliated with Providence Health And Services- Washington and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3901 Hoyt Ave

Everett, WA 982014918

Telephone 4252614076
Fax 4252614078
Associated Practice Facility / Clinic
🏢 Optum Care Washington Pllc Facility NPI 1831186766

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Everett, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -16.3 yrs vs City Avg
City Avg: 20.3 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
175 Specialists

Practicing in Everett, WA (3169 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Desta (4 Years) 4 Yrs
Everett Specialty Average (20.3 Years) 20.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-23
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD61579314

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Providence Health And Services- Washington

4112 Harbour Pointe Blvd Sw, Mukilteo, WA 982755457

Phone: 4253476330

Providence Health And Services- Washington

1321 Colby Ave, Everett, WA 982011665

Phone: 4252975234

Providence Health And Services- Washington

1321 Colby Ave, Everett, WA 982011665

Phone: 4252612000

Secondary Practice Locations

1959 Ne Pacific St

Seattle, WA 981950001

Phone: 2065433605

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Monica Carroll

Internal Medicine

NPI 1083243273
NPI 1194138834

Doctor of Osteopathic Medicine (D.O.)

NPI 1225561038

Doctor of Medicine (M.D.)

Dr. Chad Rieck , MD

Internal Medicine

NPI 1285167676

Doctor of Medicine (M.D.)

Alexander Katz

Internal Medicine

NPI 1295276558
Dr. Sierra Mccreery , MD

Internal Medicine

NPI 1407380538

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 23, 2025

Registered at 3901 HOYT AVE, EVERETT, WA 982014918 (Tel: 4252614076)

📍
Updated Business Mailing Address September 23, 2025

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 2068605414)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2025

Internal Medicine (License #MD61579314 in WA)

📍
Updated Business Mailing Address July 11, 2025

Registered at 3901 HOYT AVE, EVERETT, WA 982014918

NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981950001 (Tel: 2065433605)

📍
Updated Business Mailing Address April 05, 2022

Registered at 1959 NE PACIFIC ST BOX 356421, SEATTLE, WA 981950001 (Tel: 2065433605)

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as RUSSOM DESTA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245971209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: September 23, 2025
Sole Proprietor: No

Mailing Address

Po Box 5127

Everett, WA 982065127

Phone: 2068605414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.