Active NPI
Robb K Nagata, MD
- Anesthesiology Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00048911
- Practice address
- 400 E Pioneer Ste 101
Puyallup, WA 98372-3256 - Phone
- (253) 445-5828
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD14600 | HI | |
| Anesthesiology Physician | 207L00000X | MD25021 | OR | |
| Anesthesiology Physician | 207L00000X | MD00048911 | WA | Primary |
Addresses
Primary practice location
400 E Pioneer Ste 101
Puyallup, WA 98372-3256
Mailing address
6110 62ND Avenue CT NW
Gig Harbor, WA 98335-7483
Phone (541) 554-0126
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8519274 | Medicaid | WA | |
| P00145889 | Other | OR | RAILROAD MEDICARE |
| A057 | Other | OR | TRICARE |
| 022482 | Medicaid | OR | |
| P00655519 | Other | OR | RAILROAD MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Hawaii John a. Burns School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 27TH Ave SE
Puyallup, WA 98374-1145
Phone (253) 770-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14600 | HI | MD | Anesthesiology Physician |
| MD25021 | OR | MD | Anesthesiology Physician |
| MD00048911 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| Robb K. Nagata, MD PC | Anesthesiology | Past | Accepting new patients |
| Northwest Anesthesia Physicians PC | Anesthesiology | Past | Accepting new patients |
| Oregon Anesthesiology Group PC | Anesthesiology | Past | Accepting new patients |
Locations
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
400 E Pioneer
Ste 101
Puyallup, WA 98372
Phone (253) 445-5828
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Puyallup, WA
- NPI 1487637013
-
- Anesthesiology Physician
- Eugene, OR
- NPI 1902078314
-
- Anesthesiology Physician
- Springfield, OR
- NPI 1770531196
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1699791574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 62ND AVENUE CT NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983357483",
"telephone_number": "541-554-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E PIONEER STE 101",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723256",
"telephone_number": "253-445-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGATA",
"first_name": "ROBB",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "MD14600",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD25021",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00048911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8519274",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00145889",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A057",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022482",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00655519",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.