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

Russom Desta, MD

Individual provider Internal Medicine Physician · NPI 1245971209

Russom Desta, MD is a Hospitalist in Everett, Washington. Graduated from Meharry Medical College School of Medicine in 2022, 4 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Trained at
Meharry Medical College School of Medicine
Licensed in
WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3901 Hoyt Ave
Everett, WA 98201-4918
Phone: (425) 261-4076
Fax: (425) 261-4078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 543-3605

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD61579314 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245971209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing addressPo Box 5127, Everett, WA 98206-5127

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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