Active NPI 1881610038 Individual Practitioner Male Practitioner

Dr. Sanjit K Dutta , MD

Internal Medicine • Spokane, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sanjit Dutta, MD is a certified Internal Medicine practicing in Spokane, WA. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Dutta delivers high-quality medical care to the local community at 546 N JEFFERSON LN.

Dr. Dutta is affiliated with Providence Health And Services Washington and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

546 N Jefferson Ln

Spokane, WA 992017104

Telephone 5096240111

Fax 5092277070

Associated Practice Facility / Clinic

🏢 Providence Health & Services Washington Facility NPI 1306391446

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +19.3 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

235 Specialists

Practicing in Spokane, WA (3169 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dutta (38 Years) 38 Yrs

Spokane Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	913	394	$391.00	$127.01
99213 Established patient office or other outpatient visit, typically 15 minutes	393	308	$276.00	$90.39
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	375	271	$46.00	$16.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	252	252	$395.00	$128.14
G0009 Administration of pneumococcal vaccine	128	128	$48.00	$32.37
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	128	128	$481.56	$288.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	28	$4.00	$0.98
G0008 Administration of influenza virus vaccine	88	83	$38.00	$32.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	76	$546.00	$179.93
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	78	78	$34.00	$21.90
93000 Routine ekg using at least 12 leads including interpretation and report	58	56	$45.00	$14.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	22	$44.00	$14.39
99495 Transitional care management services for problem of at least moderate complexity	43	38	$624.00	$206.74
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	39	15	$4.00	$1.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$528.00	$169.20
20610 Aspiration and/or injection of fluid from large joint	22	21	$203.52	$66.28
69210 Removal of impacted ear wax	17	16	$147.00	$47.77
99496 Transitional care management services for problem of high complexity	12	11	$844.00	$278.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	967	392	$368.00	$126.75
99213 Established patient office or other outpatient visit, typically 15 minutes	345	260	$260.00	$89.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	236	236	$372.00	$127.89
G0009 Administration of pneumococcal vaccine	160	160	$45.00	$30.67
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	160	160	$454.00	$282.13
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	144	135	$231.00	$79.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	26	$3.00	$1.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	87	85	$30.00	$21.84
G0008 Administration of influenza virus vaccine	87	85	$33.28	$30.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	59	$515.00	$175.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	15	$41.00	$14.20
93000 Routine ekg using at least 12 leads including interpretation and report	37	37	$42.00	$14.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$498.00	$170.57
99495 Transitional care management services for problem of at least moderate complexity	25	22	$588.00	$203.91
20610 Aspiration and/or injection of fluid from large joint	24	19	$190.90	$65.87
69210 Removal of impacted ear wax	15	15	$138.00	$45.88
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$366.00	$126.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	915	401	$341.00	$126.60
99213 Established patient office or other outpatient visit, typically 15 minutes	476	321	$242.00	$90.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	226	226	$349.00	$130.33
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	161	138	$234.00	$87.32
G0008 Administration of influenza virus vaccine	159	153	$30.00	$29.45
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	158	152	$30.00	$21.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	126	30	$3.00	$1.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	15	$38.00	$14.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	41	$481.00	$180.95
99495 Transitional care management services for problem of at least moderate complexity	39	35	$550.00	$199.44
93000 Routine ekg using at least 12 leads including interpretation and report	37	37	$38.00	$14.32
G0009 Administration of pneumococcal vaccine	35	35	$45.00	$29.81
99443 Telephone medical discussion with physician, 21-30 minutes	34	31	$341.00	$124.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	23	$141.00	$53.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$172.00	$132.14
99442 Telephone medical discussion with physician, 11-20 minutes	23	23	$241.00	$90.75
20610 Aspiration and/or injection of fluid from large joint	23	19	$175.00	$63.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	18	$269.00	$100.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	13	$181.00	$67.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$521.00	$184.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$446.00	$167.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	838	386	$331.00	$128.84
99213 Established patient office or other outpatient visit, typically 15 minutes	588	361	$233.00	$91.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	215	215	$339.00	$133.35
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	179	178	$30.00	$19.94
G0008 Administration of influenza virus vaccine	174	173	$30.00	$17.16
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	138	128	$224.00	$89.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	136	28	$3.00	$1.24
99495 Transitional care management services for problem of at least moderate complexity	51	43	$531.00	$207.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	19	$37.00	$14.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	29	$173.00	$68.64
93000 Routine ekg using at least 12 leads including interpretation and report	39	39	$37.00	$14.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	37	$464.00	$176.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$512.85	$198.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	28	$136.00	$53.34
20610 Aspiration and/or injection of fluid from large joint	28	21	$166.93	$64.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	21	$258.00	$102.43
G0009 Administration of pneumococcal vaccine	22	22	$45.00	$16.35
99443 Telephone medical discussion with physician, 21-30 minutes	22	19	$333.00	$125.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$172.00	$119.11
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$234.00	$83.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	701	405	$183.81	$75.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	571	315	$266.00	$108.61
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	168	148	$222.00	$90.69
G0008 Administration of influenza virus vaccine	167	167	$30.00	$17.01
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	167	167	$30.00	$19.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	162	162	$283.00	$116.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	25	$3.00	$1.42
99443 Telephone medical discussion with physician, 21-30 minutes	86	67	$266.00	$109.83
99495 Transitional care management services for problem of at least moderate complexity	66	52	$452.00	$187.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	61	$358.00	$145.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	45	$131.00	$53.81
99442 Telephone medical discussion with physician, 11-20 minutes	48	39	$184.00	$75.45
G0009 Administration of pneumococcal vaccine	43	43	$45.00	$16.92
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	42	42	$172.00	$117.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	19	$35.00	$14.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	22	$183.56	$72.27
93000 Routine ekg using at least 12 leads including interpretation and report	29	27	$42.00	$17.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	28	20	$170.00	$69.95
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	11	$100.00	$41.49
82270 Stool analysis for blood to screen for colon tumors	24	24	$11.00	$4.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$500.64	$199.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	19	$259.00	$104.78
20610 Aspiration and/or injection of fluid from large joint	19	17	$158.05	$62.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$403.00	$165.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	814	438	$182.00	$74.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	722	350	$266.00	$108.99
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	185	168	$221.00	$91.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	176	176	$285.00	$117.29
G0008 Administration of influenza virus vaccine	148	146	$30.00	$16.68
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	148	146	$30.00	$18.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	120	29	$3.00	$1.53
99495 Transitional care management services for problem of at least moderate complexity	72	53	$402.00	$166.36
G0009 Administration of pneumococcal vaccine	55	55	$45.00	$16.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	13	$41.00	$16.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	43	$357.00	$147.56
93000 Routine ekg using at least 12 leads including interpretation and report	42	38	$42.00	$17.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$172.00	$111.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	23	$255.29	$102.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	22	$130.00	$53.99
82270 Stool analysis for blood to screen for colon tumors	28	28	$11.00	$4.14
20610 Aspiration and/or injection of fluid from large joint	24	23	$152.10	$61.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	18	$169.00	$69.66
90670 Pneumococcal vaccine for injection into muscle	19	19	$328.00	$207.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$178.29	$73.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$553.50	$204.27
99220 Hospital observation care, typically 70 minutes	13	13	$672.23	$187.36
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	13	13	$32.00	$16.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$403.00	$166.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	754	354	$253.00	$107.31
99213 Established patient office or other outpatient visit, typically 15 minutes	678	371	$171.00	$72.82
G0008 Administration of influenza virus vaccine	175	170	$30.00	$20.58
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	167	154	$215.00	$91.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	164	163	$30.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$275.00	$117.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	29	$3.00	$1.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	12	$48.00	$20.70
99495 Transitional care management services for problem of at least moderate complexity	58	45	$386.00	$164.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	39	$256.71	$104.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	33	$178.56	$71.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	46	$341.00	$145.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	23	$163.00	$69.60
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$40.00	$17.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	24	$126.00	$54.00
G0009 Administration of pneumococcal vaccine	27	26	$45.00	$20.58
20610 Aspiration and/or injection of fluid from large joint	23	22	$143.00	$61.11
90670 Pneumococcal vaccine for injection into muscle	22	22	$315.27	$196.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$387.00	$165.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$103.00	$44.23
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$30.00	$23.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	849	386	$171.00	$72.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	552	284	$252.00	$105.28
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	179	158	$215.00	$90.35
G0008 Administration of influenza virus vaccine	161	159	$26.58	$23.46
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	158	158	$26.71	$21.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	28	$3.00	$1.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$273.00	$115.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	86	$171.00	$70.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	82	67	$245.00	$101.21
99495 Transitional care management services for problem of at least moderate complexity	75	57	$384.00	$160.82
G0009 Administration of pneumococcal vaccine	52	51	$45.00	$24.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	17	$60.00	$25.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	45	$339.00	$143.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	46	$102.00	$43.55
90670 Pneumococcal vaccine for injection into muscle	36	36	$290.00	$181.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	21	$162.00	$68.47
93000 Routine ekg using at least 12 leads including interpretation and report	34	34	$40.00	$16.89
20610 Aspiration and/or injection of fluid from large joint	26	20	$143.00	$57.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$385.00	$162.97
99239 Hospital discharge day management, more than 30 minutes	19	19	$249.00	$106.51
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$144.00	$84.65
94729 Test to examine how well the lungs exchange gases	14	14	$128.00	$52.54
94726 Determination of lung volumes using plethysmography	14	14	$124.00	$50.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	12	$126.00	$53.50
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	13	$143.00	$58.24
99496 Transitional care management services for problem of high complexity	13	11	$542.00	$229.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$391.00	$150.91

Medical Specialties & State Licenses

CMS Verified: 2021-05-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00049435

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.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License WA MD00049435

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License WA MD00049435

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

889696800 (MN)

Commercial Insurance / Payer ID Healthpartners

HP39094

Commercial Insurance / Payer ID Medica

0405796

Commercial Insurance / Payer ID Preferredone

1034961

Commercial Insurance / Payer ID Mn Rr

P00033177

Commercial Insurance / Payer ID Nd Bc

23358 (ND)

Commercial Insurance / Payer ID Mn Bc

595S1DU

Commercial Insurance / Payer ID Americas Ppo

1875555

Hospital & Practice Group Affiliations

Providence Health And Services Washington

546 N Jefferson Ln, Spokane, WA 992017104

Phone: 5096240111

Secondary Practice Locations

5633 N Lidgerwood St

Spokane, WA 992081224

Phone: 5094820111

Practice Associates & Co-Workers

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

40 Associated Practitioners

Michael Russell

Surgery

NPI 1003374265

Dr. Lisa Koch , PhD

Psychologist

NPI 1003811712

Doctor of Philosophy (Ph.D.)

Dr. Robert Wales , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1003820275

Doctor of Medicine (M.D.), FACC

Kevin Kellogg , PA-C

Physician Assistant - Surgical

NPI 1003899493

Physician Assistant (Certified)

Breanna Bergeron , RD

Dietitian, Registered

NPI 1013040849

Registered Dietitian

Dr. Elizabeth Jansen , MD

Family Medicine

NPI 1013086693

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2021

Internal Medicine (License #MD00049435 in WA)

✅

NPI Profile Active May 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2017

Registered at 546 N JEFFERSON LN, SPOKANE, WA 992017104 (Tel: 5096240111)

📍

Updated Business Mailing Address May 22, 2017

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: (509) 624-0111)

👤

Provider Name / Credentials Updated May 22, 2017

Recorded as SANJIT DUTTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2017

Internal Medicine (License #MD00049435 in WA)

✅

NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2015

Registered at 910 W 5TH AVE, 701, SPOKANE, WA 992042966 (Tel: 5096240111)

📍

Updated Business Mailing Address July 16, 2015

Registered at 910 W 5TH AVE, 701, SPOKANE, WA 992042966 (Tel: 5096240111)

👤

Provider Name / Credentials Updated July 16, 2015

Recorded as SANJIT DUTTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Internal Medicine (License #MD00049435 in WA)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881610038

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2006

Last Update: May 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 5096240111

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.