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Active NPI 1215312772 Individual Practitioner Male Practitioner

Dr. Moustapha Dimachk , MD

Surgery • Walla Walla, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Moustapha Dimachk, MD is a certified Surgery practicing in Walla Walla, WA. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Dimachk delivers high-quality medical care to the local community at 380 CHASE AVE.

Dr. Dimachk maintains professional affiliations with Kadlec Regional Medical Center, Providence Health And Services - Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

380 Chase Ave

Walla Walla, WA 993622924

Telephone 0958973790
Fax 5098975558
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Walla Walla, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -16.5 yrs vs City Avg
City Avg: 27.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Walla Walla, WA (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dimachk (11 Years) 11 Yrs
Walla Walla Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 13 $108.00 $70.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $298.00 $196.35

Medical Specialties & State Licenses

CMS Verified: 2024-09-20
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD61595905

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Providence Health And Services - Washington

380 Chase Ave, Walla Walla, WA 993622924

Phone: 5098973333

Kadlec Regional Medical Center

888 Swift Blvd, Richland, WA 993523514

Phone: 5099464611

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1326574005

Doctor of Medicine (M.D.)

NPI 1881649366

Doctor of Medicine (M.D.)

Moises Cordova , PA-C

Physician Assistant

NPI 1992681043

Physician Assistant (Certified)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location September 20, 2024

Registered at 380 CHASE AVE, WALLA WALLA, WA 993622924 (Tel: 0958973790)

📍
Updated Business Mailing Address September 20, 2024

Registered at 380 CHASE AVE, WALLA WALLA, WA 993622924 (Tel: 0958973790)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2024

Surgery (License #MD61595905 in WA)

📍
Updated Practice Location June 26, 2023

Registered at 8900 N KENDALL DR, MIAMI, FL 331762118 (Tel: 2482059891)

📍
Updated Business Mailing Address June 26, 2023

Registered at 8900 N KENDALL DR, MIAMI, FL 331762118 (Tel: 2482059891)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2023

Surgery (License #ME162634 in FL)

📍
Updated Practice Location October 25, 2019

Registered at 655 W 8TH ST, JACKSONVILLE, FL 32209 (Tel: 2482059891)

📍
Updated Business Mailing Address October 25, 2019

Registered at 655 W 8TH ST, JACKSONVILLE, FL 322096511 (Tel: 2482059891)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2019

Surgery (License #TRN23501 in FL)

NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2015

Registered at 16001 W 9 MILE RD, 2ND FLOOR - SURGERY DEPARTMENT, SOUTHFIELD, MI 480754818 (Tel: 2482059891)

📍
Updated Business Mailing Address July 27, 2015

Registered at 16500 N PARK DR, ROOM 308, SOUTHFIELD, MI 480754735 (Tel: 2482059891)

👤
Provider Name / Credentials Updated July 27, 2015

Recorded as MOUSTAPHA DIMACHK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Surgery (License #L812653 in MI)

🟢
Initial NPI Registration & Enumeration July 27, 2015

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: 1215312772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2015
Last Update: September 20, 2024
Sole Proprietor: No

Mailing Address

380 Chase Ave

Walla Walla, WA 993622924

Phone: 0958973790

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.