Individual provider Active NPI

Kevin Dewey Robinson, M.D.

  • Vascular Surgery Physician
  • Olympia, WA
National Provider Identifier
1184646457
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD0034781 Issued in WA
Practice address
3610 Ensign Rd NE
Olympia, WA 98506-5025
Phone
(360) 493-5252
Fax
(360) 493-5257
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD0034781 WA Primary

Addresses

Primary practice location

3610 Ensign Rd NE
Olympia, WA 98506-5025

Mailing address

3610 Ensign Rd NE
Olympia, WA 98506-5025
Phone (360) 493-5252

Other identifiers 1

IdentifierTypeStateIssuer
8206559MedicaidWA

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
I20100819001223 WA Practitioner - General SurgeryPractitioner - Vascular Surgery 0547287542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Washington School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates PLLCGroup PAC ID 5395633572, 8 clinicians

Practice addresses (Care Compare)

3610 Ensign Rd NE
Olympia, WA 98506-5025
Phone (360) 493-5252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.38 of 100Reported as individual
Quality
62.46
Promoting interoperability
95
Improvement activities
40
Cost
86.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)15
Hernia repair (minimally invasive)1-10
Mastectomy17
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue11
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0034781WAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates PLLC Vascular Surgery CurrentSince Jul 1, 2001 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Jefferson County Public Hospital District No 2 PastSince Jul 1, 2001 Accepting new patients

Locations

3525 Ensign Rd NE
Ste J
Olympia, WA 98506
Phone (240) 463-4101

3610 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-5252

Interoperability endpoints

  • Direct secure messaging: kevin.robinson.1@9971.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1184646457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065025",
            "telephone_number": "360-493-5252",
            "fax_number": "360-493-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065025",
            "telephone_number": "360-493-5252",
            "fax_number": "360-493-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KEVIN",
        "middle_name": "DEWEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD0034781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8206559",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.