Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniel James Kissau, MD

Individual provider Internal Medicine Physician · NPI 1861996837

Daniel James Kissau, MD is an Internal Medicine in Olympia, Washington. Graduated from Wayne State University School of Medicine in 2018, 8 years ago. Practices with Providence Health and Services Washington, a 480-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Trained at
Wayne State University School of Medicine
Licensed in
WA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone: (360) 493-4083
Fax: (360) 486-6436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD61444250 (WA)

Record details

NPI number1861996837
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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