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

Ryan Michael Ebisu, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306465174

Ryan Michael Ebisu, MD is an Emergency Medicine in Issaquah, Washington. Graduated from University of Hawaii John A. Burns School of Medicine in 2020, 6 years ago. Practices with Swedish Health Services, a 384-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
WA
In the registry since
2020
Specialties on file
2
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

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone: (253) 460-7714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD61396821 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306465174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address1567 Highlands Dr Ne # 110-35, Issaquah, WA 98029-6245

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Swedish Health Services — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Issaquah