Individual provider Active NPI

Silvia Speidel McKevitt, MD

  • Ophthalmology Physician
  • Renton, WA
National Provider Identifier
1588600159
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00046137 Issued in WA
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

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200053230MedicaidOK

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
I20061104000048 WA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 8729021860 Practice locations: Renton, WA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046137WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Painless Clinic PLLC Past Accepting new patients
Eric T Waterman MD, PLLC PastSince Apr 19, 2020 Accepting new patients
Dean McGee Eye Institute Ophthalmology Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.