Individual provider Active NPI

Robyn B. Vera, DO

  • Radiation Oncology Physician
  • Silverdale, WA
National Provider Identifier
1033370705
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
OP 60274192 Issued in WA
Practice address
1900 NW Myhre Rd
Silverdale, WA 98383-7662
Phone
(564) 240-3100
Fax
(564) 240-3198
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X OP 60274192 WA Primary

Addresses

Primary practice location

1900 NW Myhre Rd
Silverdale, WA 98383-7662

Mailing address

4230 Bridgeport Way W Ste B
University Place, WA 98466-4335
Phone (253) 779-6301

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tacomaradiation@directaddress.net Tacoma Radiation Oncology Center Inc, PS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120621000665 WA Practitioner - Radiation Oncology 8426213513 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Midwestern University, Chicago College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tacoma Radiation Oncology Center Inc, PSGroup PAC ID 1658260302, 6 clinicians

Practice addresses (Care Compare)

1802 Yakima Ave
Suite 103
Tacoma, WA 98405-5303
Phone (253) 272-1077

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP 60274192WAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Radiation Oncology Center Inc, PS Radiation Oncology CurrentSince Apr 7, 2021 Accepting new patients
Peninsula Rad Onc Ctr LLC Radiation Oncology CurrentSince Apr 7, 2021 Accepting new patients

Locations

11511 Canterwood Blvd
Ste 50
Gig Harbor, WA 98332
Phone (253) 530-2939

1900 NW Myhre Rd
Silverdale, WA 98383
Phone (564) 240-3100

1802 Yakima Ave
Ste 103
Tacoma, WA 98405
Phone (253) 272-1077

1708 Yakima Ave
Ste 115
Tacoma, WA 98405
Phone (253) 363-8780

4230 Bridgeport Way W
Ste B
University Place, WA 98466
Phone (253) 272-1077

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: tacomaradiation@directaddress.net
  • Direct secure messaging: rvera137085@wm.providencedirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1033370705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 BRIDGEPORT WAY W STE B",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664335",
            "telephone_number": "253-779-6301",
            "fax_number": "253-627-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NW MYHRE RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837662",
            "telephone_number": "564-240-3100",
            "fax_number": "564-240-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "ROBYN",
        "middle_name": "B.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "OP 60274192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tacomaradiation@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Tacoma Radiation Oncology Center Inc, PS",
            "address_1": "1900 NW Myhre Rd",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983837662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.