NPIMap

Individual provider Active NPI

Steven Frederick Hill, D.O.

  • Family Medicine Physician
  • South Bend, WA
National Provider Identifier
1104875962
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001736 Issued in WA
Practice address
810 Alder St
South Bend, WA 98586-0168
Phone
(360) 875-4502
Fax
(360) 875-5962
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001736 WA Primary

Addresses

Primary practice location

810 Alder St
South Bend, WA 98586-0168

Mailing address

PO Box 168
South Bend, WA 98586-0168
Phone (360) 875-4502

Other identifiers 3

IdentifierTypeStateIssuer
1114610MedicaidWA
0156684OtherWAL&I PROVIDER ID
9633HIOtherWAREGENCE RIDER NO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100702000278 WA Practitioner - Family Practice 3870485253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific County Hospital District 2Group PAC ID 8224939301, 31 clinicians

Practice addresses (Care Compare)

800 Alder St
South Bend, WA 98586-4900
Phone (360) 875-4502

826 Alder St
South Bend, WA 98586-4900
Phone (360) 875-5526

PO Box
Suite 438
South Bend, WA 98586

PO Box
Suite 438
South Bend, WA 98586-0438

Hospital & facility affiliations

  • Harbors Home Health / Hospice Home health agency, Hoquiam, WA, CCN 507020
  • Willapa Harbor Hospital Hospital, South Bend, WA, CCN 501303
  • Mercyone Newton Medical Center Hospital, Newton, IA, CCN 160032
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Willapa Harbor Hospital Nursing home, CCN 50Z303

Merit-based Incentive Payment System (MIPS)

Final score
83.64 of 100Reported as group
Quality
78.29
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23586IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific County Hospital District 2 Family Medicine CurrentSince Feb 17, 2020 Accepting new patients
Pacific County Hospital District 2 CurrentSince Feb 17, 2020 Accepting new patients

Organizations & group practices 2

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 6

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1104875962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985860168",
            "telephone_number": "360-875-4502",
            "fax_number": "360-875-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ALDER ST",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985860168",
            "telephone_number": "360-875-4502",
            "fax_number": "360-875-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "STEVEN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114610",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER ID",
            "identifier": "0156684",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NO",
            "identifier": "9633HI",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, WA

Sources for this page

Verify at the official NPI Registry.