Individual provider Active NPI

Robert Linville, M.D.

  • Vascular & Interventional Radiology Physician
  • Tacoma, WA
National Provider Identifier
1457593279
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD60298562 Issued in WA
Practice address
1304 Fawcett Ave
Suite 100
Tacoma, WA 98402-1911
Phone
(253) 761-4200
Fax
(253) 383-3553
NPI assigned
Mar 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 61989 - 20 WI
Vascular & Interventional Radiology Physician 2085R0204X MD60298562 WA Primary
Diagnostic Radiology Physician 2085R0202X MD60298562 WA
Vascular & Interventional Radiology Physician 2085R0204X MD172037 OR
Diagnostic Radiology Physician 2085R0202X MD172037 OR

Addresses

Primary practice location

1304 Fawcett Ave
Suite 100
Tacoma, WA 98402-1911

Mailing address

1304 Fawcett Ave
Suite 100
Tacoma, WA 98402-1911
Phone (253) 761-4200

Other identifiers 6

IdentifierTypeStateIssuer
2018721MedicaidWA
340887OtherWALNI-UAOM
500686562MedicaidOR
340326OtherWALNI-MIO1
340879OtherWALNI-TRA KING COUNTY
340886OtherWALNI-TRA PIERCE COUNTY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT2 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
I20150615001521 OR Practitioner - Diagnostic Radiology 3375766181 Reassigns benefits to 1 organization
I20240318002410 MT Practitioner - Interventional Radiology 3375766181 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD172037ORMDVascular & Interventional Radiology Physician
MD60298562WAMDVascular & Interventional Radiology Physician
61989 - 20WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Mar 11, 2024 Accepting new patients
Roundup Memorial Hospital Association CurrentSince Mar 22, 2024 Accepting new patients
Billings Clinic CurrentSince Mar 11, 2024 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Jul 1, 2015 Accepting new patients
Roundup Memorial Hospital Association CurrentSince Mar 22, 2024 Accepting new patients
Tra-Minw P S CurrentSince Jul 1, 2015 Accepting new patients
Rosebud Community Hospital Inc Current Accepting new patients
Powder River County CurrentSince Mar 22, 2024 Accepting new patients
Livingston Healthcare CurrentSince Mar 22, 2024 Accepting new patients
Livingston Healthcare Current Accepting new patients
Tra-Minw P S CurrentSince Jul 1, 2015 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Mar 1, 2017 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Mar 22, 2024 Accepting new patients
Big Horn Hospital Association CurrentSince Mar 22, 2024 Accepting new patients
Big Horn Hospital Association Diagnostic Radiology CurrentSince Mar 22, 2024 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Mar 22, 2024 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Mar 1, 2017 Accepting new patients
Powder River County CurrentSince Mar 22, 2024 Accepting new patients
Livingston Healthcare CurrentSince Mar 22, 2024 Accepting new patients
Billings Clinic Current Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

1207 2nd St W
Roundup, MT 59072
Phone (406) 323-2301

1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

33915 1st Way S
Ste 130
Federal Way, WA 98003
Phone (253) 528-9135

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

9725 SE 36th St
Ste 114
Mercer Island, WA 98040

11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374

222 15th Ave SE
Puyallup, WA 98372

2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900

3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099

1304 Fawcett Ave
Tacoma, WA 98402
Phone (253) 680-3629

2202 S Cedar St
Ste 200
Tacoma, WA 98405

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1457593279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE",
            "address_2": "SUITE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021911",
            "telephone_number": "253-761-4200",
            "fax_number": "253-383-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE",
            "address_2": "SUITE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021911",
            "telephone_number": "253-761-4200",
            "fax_number": "253-383-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "61989 - 20",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD60298562",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60298562",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "MD172037",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD172037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018721",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-UAOM",
            "identifier": "340887",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500686562",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-MIO1",
            "identifier": "340326",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-TRA KING COUNTY",
            "identifier": "340879",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-TRA PIERCE COUNTY",
            "identifier": "340886",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.