Charles Ibeziako, MD
NPI 1093695249 · Family Medicine Physician · Othello, WA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Ibeziako, MD is a Family Medicine Physician provider in Othello, WA (NPI 1093695249).
Provider details
- NPI number
- 1093695249
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ML70050698 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 601 Government RdMattawa, WA 99349-5120Phone: (509) 488-5256Fax: (509) 488-9939
Registry dates
- Enumerated
- 2025-09-06
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Charles Ibeziako's NPI number?
- Charles Ibeziako's National Provider Identifier (NPI) is 1093695249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Ibeziako's specialty?
- Charles Ibeziako is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Ibeziako located?
- Charles Ibeziako's practice location on file with NPPES is 1515 E Columbia St, Othello, WA 99344-1846.
- What is Charles Ibeziako's phone number?
- The practice phone number listed in the NPPES registry for Charles Ibeziako is (509) 488-5256.
- Does Charles Ibeziako accept Medicare?
- Charles Ibeziako is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Ibeziako's NPI active?
- Yes — Charles Ibeziako's NPI (1093695249) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.