Individual provider Active NPI

Robert S Hurlow, MD

  • Family Medicine Physician
  • Bainbridge Island, WA
National Provider Identifier
1417068446
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00021882 Issued in WA
Practice address
1344 Wintergreen LN NE Unit 100
Bainbridge Island, WA 98110-5147
Phone
(206) 201-0488
Fax
(206) 201-0490
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 MD00021882 WA Primary

Addresses

Primary practice location

1344 Wintergreen LN NE Unit 100
Bainbridge Island, WA 98110-5147

Mailing address

1344 Wintergreen LN NE Unit 100
Bainbridge Island, WA 98110-5147
Phone (206) 201-0488

Other practice location 1

945 Hildebrand Ln NE
Suite 100
Bainbridge Island, WA 98110-2877
Phone (206) 855-7700

Other identifiers 5

IdentifierTypeStateIssuer
1009870MedicaidWA
6273HUOtherREGENCE
225462OtherWALABOR & INDUSTRIES
P00729671OtherRAILROAD MEDICARE
AETNAOther4136581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040216000481 WA Practitioner - Family Practice 6800781352 Reassigns benefits to 3 organizations
I20260312001426 AK Practitioner - Family Practice 6800781352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Cordova Community Medical CenterGroup PAC ID 1759275902, 17 clinicians

Practice addresses (Care Compare)

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3700

1344 Wintergreen LN NE
Suite 100
Bainbridge Island, WA 98110-5118
Phone (206) 201-0488

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

602 Chase Ave
Cordova, AK 99574-0559
Phone (907) 424-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jun 15, 2020 Accepting new patients
Multicare Health System Family Medicine CurrentSince Dec 31, 2021 Accepting new patients
Cordova Community Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Jun 15, 2020 Accepting new patients
Multicare Health System CurrentSince Dec 31, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Swedish Health Services CurrentSince Mar 1, 2016 Accepting new patients
Swedish Health Services Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients

Locations

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

21 NE Romance Hill Rd
Ste 105
Belfair, WA 98528
Phone (360) 277-2950

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

31675 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 215-1093

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

19245 7th Ave NE
#O
Poulsbo, WA 98370
Phone (360) 782-3500

1344 Wintergreen Ln NE
Unit 100
Seattle, WA 98110
Phone (206) 201-0488

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

6322 Roosevelt Way NE
Seattle, WA 98115
Phone (206) 201-0544

2200 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 830-1100

9398 Ridgetop Blvd NW
#O
Silverdale, WA 98383
Phone (360) 782-3200

9621 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3300

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

Organizations & group practices 9

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.

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1417068446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 WINTERGREEN LN NE UNIT 100",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105147",
            "telephone_number": "206-201-0488",
            "fax_number": "206-201-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 WINTERGREEN LN NE UNIT 100",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105147",
            "telephone_number": "206-201-0488",
            "fax_number": "206-201-0490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Hildebrand Ln NE",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bainbridge Island",
            "state": "WA",
            "postal_code": "981102877",
            "country_code": "US",
            "telephone_number": "206-855-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLOW",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00021882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009870",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6273HU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "225462",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00729671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4136581",
            "identifier": "AETNA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

Verify at the official NPI Registry.