Esravila Ariya Wibisono, MD
Internal Medicine Physician · Bonney Lake, WA
Esravila Ariya Wibisono, MD is an internal medicine physician with a practice address in Bonney Lake, Washington, and NPI 1972233708, issued on Jun 14, 2022. Check the license (Washington MD61603415, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.
- Name
- Esravila Ariya Wibisono
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- MD61603415 WA
06-0646844 CT
Self-reported in NPPES; status is on the state search - Practice location
- 10004 204TH Ave E Ste 2200, Bonney Lake, WA 98391
- Phone
- (253) 447-3300
- Enumerated
- Jun 14, 2022
- Record last updated
- Jul 31, 2025
- Medicare enrollment
- Enrolled (PECOS I20250909004774); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 3,079 in Washington → Look up another NPI →
Also registered at 10004 204TH Ave E Ste 2200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Saydee Homolka, PA-CPhysician Assistant1093594434
Verify Esravila Ariya Wibisono in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWashington Medical Commission
Search for license MD61603415Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average internal medicine physician in 2024
136 Medicare Part D claims for 50 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims.
Most prescribed
- Amlodipine Besylate18 claims
- Prednisone11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Multicare Health SystemBonney Lake, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Esravila Ariya Wibisono among 3,079 internal medicine physician records in Washington
Esravila Ariya Wibisono, MD is one of 3,079 internal medicine physician records with a practice address in Washington. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 93% of them.
- NPI issued2022 · 93% of these records are older, 4% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2018 · median 2006 among the 1,852 with a school on file
- Record last updated2025 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 internal medicine physician records list a practice address in Bonney Lake
They are 5 of the 401 NPPES records with a practice address in Bonney Lake, and 3,079 internal medicine physician records in Washington.
All 3,079 in Washington → Every provider in Bonney Lake → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Farah Saleem, MDBonney Lake, WA 983911063973873
- Corie Sandall, MDBonney Lake, WA 983911013996180
- Kamyar Vaziri, M.D.Bonney Lake, WA 983911760844708
- Naval Walia, MDBonney Lake, WA 983911548899164
- Robert Corliss, M.D.Sumner, WA 983901407940331
- Benigno Waldo Dagan, MDSumner, WA 983901235182122
- Steven Gillroy, D.O.Spanaway, WA 983871699941088
- Shahrooz Zandnia, M.DSpanaway, WA 983871699030635
Common questions
What is Esravila Ariya Wibisono, MD's NPI number?
Esravila Ariya Wibisono, MD's National Provider Identifier (NPI) is 1972233708, issued on Jun 14, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Esravila Ariya Wibisono, MD located?
The NPPES record lists a practice address at 10004 204TH Ave E Ste 2200, Bonney Lake, WA, 98391. Phone: (253) 447-3300. Providers update this record themselves, so call before visiting.
How can I verify Esravila Ariya Wibisono, MD's license?
NPPES lists Washington license number MD61603415, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Esravila Ariya Wibisono, MD prescribe under Medicare Part D?
In 2024, Esravila Ariya Wibisono, MD had 136 Medicare Part D claims for 50 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.