Individual provider Active NPI

Robert D McCroskey, M.D.

  • Hematology & Oncology Physician
  • Puyallup, WA
National Provider Identifier
1629064589
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD00028658 Issued in WA
Practice address
2920 South Meridian
Suite 100
Puyallup, WA 98373-1428
Phone
(253) 841-4296
Fax
(253) 841-2435
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD00028658 WA Primary

Addresses

Primary practice location

2920 South Meridian
Suite 100
Puyallup, WA 98373-1428

Mailing address

1624 South I Street
Suite 305
Tacoma, WA 98405-5093
Phone (253) 428-8700

Other identifiers 2

IdentifierTypeStateIssuer
99334OtherWAL AND I
1067685MedicaidWA

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
I20041025000478 WA Practitioner - Hematology/OncologyPractitioner - Medical Oncology 8325009160 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00028658WAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Feb 18, 2025 Accepting new patients
Multicare Health System CurrentSince Feb 18, 2025 Accepting new patients
Northwest Medical Specialties PLLC CurrentSince Mar 1, 2007 Accepting new patients
Rainier Oncology Professional Services PastSince Jan 28, 2005 Accepting new patients
Northwest Medical Specialties Pharmacy Past Accepting new patients

Locations

1427 Jefferson Ave
Ste 201
Enumclaw, WA 98022
Phone (360) 802-7933

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

11511 Canterwood Blvd
Ste 45
Gig Harbor, WA 98332
Phone (253) 426-4772

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

400 15th Ave SE
Ste D
Puyallup, WA 98372
Phone (253) 697-4823

2940 S Meridian
Ste 200
Puyallup, WA 98373

2920 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 604-4599

1624 S I St
Ste 305
Tacoma, WA 98405

Organizations & group practices 6

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1629064589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 SOUTH I STREET",
            "address_2": "SUITE 305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055093",
            "telephone_number": "253-428-8700",
            "fax_number": "253-383-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SOUTH MERIDIAN",
            "address_2": "SUITE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731428",
            "telephone_number": "253-841-4296",
            "fax_number": "253-841-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROSKEY",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00028658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "99334",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1067685",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.