Active NPI
Silvia Speidel McKevitt, MD
- Ophthalmology Physician
- Renton, WA
National Provider Identifier
1588600159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00046137
- Practice address
- 4300 Talbot Rd S
Suite 311
Renton, WA 98055-6238 - Phone
- (206) 728-8119
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00046137 | WA | Primary |
Addresses
Primary practice location
4300 Talbot Rd S
Suite 311
Renton, WA 98055-6238
Mailing address
931 Yakima Ave S
Seattle, WA 98144-3146
Phone (206) 370-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200053230 | Medicaid | OK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061104000048 | WA | Practitioner - Ophthalmology | 8729021860 | Practice locations: Renton, WA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046137 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Painless Clinic PLLC | Past | Accepting new patients | |
| Eric T Waterman MD, PLLC | Past | Accepting new patients | |
| Dean McGee Eye Institute | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGBAED/Endpoint/GGBAED
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Renton, WA
- NPI 1215180864
-
- Neurology Physician
- Renton, WA
- NPI 1477204295
-
- Ophthalmology Physician
- Oklahoma City, OK
- NPI 1245209675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1588600159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 YAKIMA AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981443146",
"telephone_number": "206-370-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 TALBOT RD S",
"address_2": "SUITE 311",
"city": "RENTON",
"state": "WA",
"postal_code": "980556238",
"telephone_number": "206-728-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEVITT",
"first_name": "SILVIA",
"middle_name": "SPEIDEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00046137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200053230",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.