Individual provider Active NPI

Robert L Hovancsek, DPM

  • Podiatrist
  • Aberdeen, WA
National Provider Identifier
1508868167
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000531 Issued in OH
Practice address
2218 Simpson Ave
Aberdeen, WA 98520-3514
Phone
(360) 533-4344
Fax
(360) 533-4755
NPI assigned
Aug 12, 2005
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000531 OH Primary

Addresses

Primary practice location

2218 Simpson Ave
Aberdeen, WA 98520-3514

Mailing address

2218 Simpson Ave
Aberdeen, WA 98520-3514
Phone (360) 533-4344

Other identifiers 5

IdentifierTypeStateIssuer
5321381OtherWAAETNA
059467000OtherWAREGENCE
1089119MedicaidWA
480026783OtherWARAILROAD MEDICARE NUMBER
51866OtherWAL & I

Other names 1

  • Robert L Hovancsek Professional name

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081002000222 WA Practitioner - Podiatry 6002984101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2218 Simpson Ave
Aberdeen, WA 98520-3514
Phone (360) 533-4344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as individual
Quality
72.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue520
Removal of skin lesions1-10
Removal of nail tissue2618
Removal or shaving of skin growth970
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000531OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L. Hovancsek, D.P.M. PS Podiatrist CurrentSince Dec 3, 2001 Accepting new patients

Locations

2218 Simpson Ave
Aberdeen, WA 98520
Phone (206) 533-4344

Interoperability endpoints

  • Direct secure messaging: rhovancsek596822@direct.multicare.org

Organizations & group practices 1

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 4

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1508868167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 SIMPSON AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203514",
            "telephone_number": "360-533-4344",
            "fax_number": "360-533-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 SIMPSON AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203514",
            "telephone_number": "360-533-4344",
            "fax_number": "360-533-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVANCSEK",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "PO00000531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5321381",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "059467000",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1089119",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "480026783",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "51866",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "HOVANCSEK",
            "middle_name": "L",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.