Theodore P Skaarup, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00037267 Issued in WA

Practice address

1804 W 51St Ave
Kennewick, WA 99337-4626

Phone

(509) 619-0562

NPI assigned

Jun 16, 2005

Last updated

Oct 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Anesthesiology

Education

University of Southern California Keck School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Service- WashingtonGroup PAC ID 0840279758, 170 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002

Merit-based Incentive Payment System (MIPS)

Final score

85.73 of 100Reported as group

Quality

83.21

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

73.51 of 100Reported as group

Quality

68.84

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tskaarup368331@wm.providencedirect.org

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

• Providence Health & Service- Washington

  dba Providence Anesthesia Services

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1508118555
  Medicare reassignment Care Compare group NPD
• Capital Medical Center Specialty Physicians, LLC

  • Occupational Medicine Physician
  • Olympia, WA
  • NPI 1760785281
  Medicare reassignment NPD
• Columbia Anesthesia Group P S

  • Anesthesiology Physician
  • Vancouver, WA
  • NPI 1861448235
  Medicare reassignment NPD

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

• Providence Health & Services - Washington

  dba Providence St Mary Medical Center

  • General Acute Care Hospital
  • Walla Walla, WA
  • NPI 1386895886
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1275538134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1663",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620031",
            "telephone_number": "509-619-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W 51ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374626",
            "telephone_number": "509-619-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAARUP",
        "first_name": "THEODORE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00037267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139398",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050066021",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8240079",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Paloma Singleterry
• Michelle Dawn Sinnes, LMT
• Sittilerk Trikalsaransukh (Tri-Cities Endoscopy Center, PLLC)
• Charanya Sivaramakrishnan, M.D
• Raymond Herbert Sjerven, D.O.
• Katherine Maurice Skinner, NAC
• Yelizaveta Skoromnaya, DC
• Daniel Edward Slagle, R.PH.
• Virginia M Sliman, LMHC
• Jeniya Slutskaya

• Anesthesiology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.