Individual provider Active NPI

Robert K Ueda, MD

  • Diagnostic Radiology Physician
  • Lewistown, PA
National Provider Identifier
1477589406
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD427504 Issued in PA
Practice address
400 Highland Ave
Lewistown, PA 17044-1167
Phone
(717) 242-7282
Fax
(717) 242-8965
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00043924 WA
Diagnostic Radiology Physician 2085R0202X 118238 MO
Vascular & Interventional Radiology Physician 2085R0204X MD00043924 WA
Diagnostic Radiology Physician 2085R0202X MD427504 PA Primary

Addresses

Primary practice location

400 Highland Ave
Lewistown, PA 17044-1167

Mailing address

16702 SE 69TH Way
Bellevue, WA 98006-5676
Phone (425) 746-1709

Other practice location 1

16702 SE 69th Way
Bellevue, WA 98006-5676
Phone (425) 746-1709

Other identifiers 9

IdentifierTypeStateIssuer
CB305830OtherCAMEDICARE
CA319470OtherCAMEDICARE
CA319471OtherCAMEDICARE
P02122935OtherCARAILROAD
200011733MedicaidMO
5532321OtherCIGNA
8407165MedicaidWA
CA319469OtherCAMEDICARE
P02122922OtherCARAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, PA, OR, OH5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20041113000103 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4284698853 Reassigns benefits to 1 organization
I20070510000401 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4284698853 Reassigns benefits to 5 organizations
I20140317000290 PA Practitioner - Diagnostic Radiology 4284698853 Reassigns benefits to 3 organizations
I20210302001148 OR Practitioner - Interventional Cardiology 4284698853 Reassigns benefits to 1 organization
I20230125001004 OH Practitioner - Diagnostic Radiology 4284698853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Creighton University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

1638 Esplanade
Chico, CA 95926-3313
Phone (530) 332-6200

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118238MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Enloe Medical Center CurrentSince Jan 16, 2023 Accepting new patients
Bay Area Hospital District CurrentSince Dec 14, 2020 Accepting new patients
Reedley Community Hospital CurrentSince Aug 20, 2020 Accepting new patients
Reedley Community Hospital CurrentSince Aug 20, 2020 Accepting new patients
Pin Point Radiology Management, L.P. Diagnostic Radiology CurrentSince Feb 19, 2010 Accepting new patients
Hanford Community Hospital CurrentSince Aug 19, 2020 Accepting new patients
Bay Area Hospital District CurrentSince Dec 14, 2020 Accepting new patients
Grandview Radiology Associates Diagnostic Radiology CurrentSince Dec 18, 2023 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jun 1, 2015 Accepting new patients
Geisinger Clinic Current Accepting new patients
Enloe Medical Center CurrentSince Jan 16, 2023 Accepting new patients
Los Angeles Radiology Medical Associates, Inc. Diagnostic Radiology CurrentSince Aug 21, 2018 Accepting new patients
Adventist Health Tulare CurrentSince Aug 19, 2020 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Apr 12, 2021 Accepting new patients
Optimal Readings Professional Services, LLC Diagnostic Radiology Past Accepting new patients
Advanced Open Imaging Boise LLC Past Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients
Proliance Surgeons Inc PS Past Accepting new patients
Michigan Radiology PC Diagnostic Radiology Past Accepting new patients
Arizona Diagnostic & Surgical Center, Inc Past Accepting new patients

Locations (25 of 30)

2725 Silver CRK Rd
Western Arizona Regional Medical Ctr
Bullhead City, AZ 86442

2725 Silver CRK Rd
Bullhead City, AZ 86442

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

Dept LA 25339
Pasadena, CA 91185

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

425 5th Ave
East Liverpool, OH 43920
Phone (330) 385-7200

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

100 N Academy Ave
Danville, PA 17822

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

Interoperability endpoints

  • Direct secure messaging: rueda780255@direct.multicare.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • Direct secure messaging: rueda337321@direct.wvuhsdirect.com
  • Direct secure messaging: rueda1156165@direct.hfhs.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1477589406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 SE 69TH WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065676",
            "telephone_number": "425-746-1709",
            "fax_number": "425-746-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441167",
            "telephone_number": "717-242-7282",
            "fax_number": "717-242-8965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16702 SE 69th Way",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980065676",
            "country_code": "US",
            "telephone_number": "425-746-1709",
            "fax_number": "425-746-1709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UEDA",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00043924",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "118238",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD00043924",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD427504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB305830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA319470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA319471",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P02122935",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011733",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5532321",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8407165",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA319469",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P02122922",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.