NPIMap

Individual provider Active NPI

Jerry Joel Robbins, M.D.

  • Internal Medicine Physician
  • Newport, OR
National Provider Identifier
1194874040
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10375 Issued in OR
Practice address
930 SW Abbey St
Newport, OR 97365-4820
Phone
(541) 265-2244
Fax
(541) 574-4736
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20080519000629 OR Practitioner - Internal Medicine 2062581994 Reassigns benefits to 3 organizations

All facility ownership & control disclosures 6

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Samaritan Pacific Communities HospitalNewport, OR, CCN 381314 Hospital Corporate Director Jan 1, 2012
Samaritan Pacific Community HospitalNewport, OR, CCN 38Z314 Hospital Corporate Director Jan 1, 2012
Samaritan Health Clinic - WaldportWaldport, OR, CCN 388519 Rural health clinic Corporate Director Jan 1, 2012
Samaritan Health Clinic - ToledoToledo, OR, CCN 388529 Rural health clinic Corporate Director Jan 1, 2012
Samaritan Health Center - NewportNewport, OR, CCN 388532 Rural health clinic Corporate Director Jan 1, 2012
Samaritan Health Clinic - Depoe BayDepoe Bay, OR, CCN 388531 Rural health clinic Corporate Director Jan 1, 2012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10375ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan North Lincoln Hospital CurrentSince Aug 23, 2018 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Aug 23, 2018 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Albany General Hospital CurrentSince Mar 1, 2019 Accepting new patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Mar 1, 2019 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 1, 2002 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1010 SW Coast Hwy
Ste 201
Newport, OR 97365
Phone (541) 257-6393

Interoperability endpoints

  • Direct secure messaging: jrobbins164321@samhealth.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10375 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

930 SW Abbey St
Newport, OR 97365-4820

Mailing address

PO Box 2847
Corvallis, OR 97339-2847

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address jrobbins164321@samhealth.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2020.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1194874040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW ABBEY ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654820",
            "telephone_number": "541-265-2244",
            "fax_number": "541-574-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JERRY",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "10375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrobbins164321@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.