Individual provider Active NPI

Kevin Lawrence Sloan, M.D.

  • Psychiatry Physician
  • Mercer Island, WA
National Provider Identifier
1558470195
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00029132 Issued in WA
Practice address
4731 84TH Ave SE
Mercer Island, WA 98040-4322
Phone
(206) 375-2774
NPI assigned
Aug 29, 2006
Last updated
Nov 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00029132 WA Primary
Addiction Psychiatry Physician 2084P0802X MD00029132 WA

Addresses

Primary practice location

4731 84TH Ave SE
Mercer Island, WA 98040-4322

Mailing address

4731 84TH Ave SE
Mercer Island, WA 98040-4322
Phone (206) 375-2774

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090626000380 WA Practitioner - Psychiatry 7618028929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Chicago, Pritzker School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8015 SE 28TH St
Suite 218
Mercer Island, WA 98040-2910
Phone (206) 375-2774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00029132WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin L Sloan, MD, PLLC Psychiatry CurrentSince Nov 2, 2009 Accepting new patients

Locations

8015 SE 28th St
Ste 218
Mercer Island, WA 98040
Phone (206) 375-2774

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1558470195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 84TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404322",
            "telephone_number": "206-375-2774",
            "fax_number": "206-829-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 84TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404322",
            "telephone_number": "206-375-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "KEVIN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00029132",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "WA",
            "license": "MD00029132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.