Individual provider Active NPI

Robert William Poulin, M.D.

  • Ophthalmology Physician
  • Santa Barbara, CA
National Provider Identifier
1457461204
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G59821 Issued in CA
Practice address
515 E Micheltorena St
Santa Barbara, CA 93103-2257
Phone
(805) 963-4272
Fax
(805) 563-0883
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G59821 CA Primary

Addresses

Primary practice location

515 E Micheltorena St
Santa Barbara, CA 93103-2257

Mailing address

515 E Micheltorena St
Santa Barbara, CA 93103-2257
Phone (805) 963-4272

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ56020ZOtherBLUE SHIELD
G59821OtherCAMEDICAL LISCENSE
GR0068400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120307000227 CA Practitioner - Ophthalmology 4587823745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Jay Paveloff MD IncGroup PAC ID 8224241955, 3 clinicians

Practice addresses (Care Compare)

1532 Anacapa St
Suite 5
Santa Barbara, CA 93101-1950
Phone (805) 682-4459

515 E Micheltorena St
Suite D
Santa Barbara, CA 93103-4224
Phone (805) 963-4272

Merit-based Incentive Payment System (MIPS)

Final score
98.33 of 100Reported as individual
Quality
96.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59821CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Jay Paveloff M D Inc Ophthalmology CurrentSince Apr 1, 2021 Accepting new patients
Stuart R Winthrop MD Inc Ophthalmology CurrentSince Jul 18, 2025 Accepting new patients
Steven D. Zelko, MD Inc. Ophthalmology PastSince Jul 2, 2023 Accepting new patients
Santa Barbara Cottage Hospital PastSince Apr 1, 2021 Accepting new patients

Locations

1933 Cliff Dr
Ste 29
Santa Barbara, CA 93109
Phone (805) 682-2618

515 E Micheltorena St
Ste D
Santa Barbara, CA 93103
Phone (805) 837-1617

515 E Micheltorena St
Santa Barbara, CA 93103
Phone (805) 563-3234

1532 Anacapa St
Ste 5
Santa Barbara, CA 93101
Phone (805) 682-4459

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1457461204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E MICHELTORENA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032257",
            "telephone_number": "805-963-4272",
            "fax_number": "805-964-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MICHELTORENA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032257",
            "telephone_number": "805-963-4272",
            "fax_number": "805-563-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G59821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ56020Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENSE",
            "identifier": "G59821",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.