Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Esravila Ariya Wibisono, MD

Internal Medicine Physician in Bonney Lake, WA · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972233708

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Registry record

Entity type Individual (Type 1)

Name Esravila Ariya Wibisono

Credential MD

Sex Male

Practice address 10004 204th Ave E Ste 2200, Bonney Lake, WA, 98391

Phone (253) 447-3300

Enumeration date Jun 14, 2022

Last updated in NPPES Jul 31, 2025

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care · License 06-0646844 (CT) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD61603415 (WA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Esravila Wibisono?

The National Provider Identifier (NPI) for Esravila Wibisono is 1972233708, a Type 1 (individual) record in the CMS NPPES registry.

Where does Esravila Wibisono practice?

The practice location on file with NPPES is in Bonney Lake, WA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Saydee Homolka Physician Assistant · Bonney Lake, WA NPI 1093594434

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-31.