NPIMap

Individual provider Active NPI

Robert Dean McElhaney Jr., MD

  • Family Medicine Physician
  • Chehalis, WA
National Provider Identifier
1730162124
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00039760 Issued in WA
Practice address
4254 Jackson Hwy
Chehalis, WA 98532-8424
Phone
(360) 262-3966
Fax
(360) 262-3967
NPI assigned
Nov 21, 2005
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00039760 WA Primary

Addresses

Primary practice location

4254 Jackson Hwy
Chehalis, WA 98532-8424

Mailing address

4254 Jackson Hwy
Chehalis, WA 98532-8424
Phone (360) 262-3966

Other identifiers 3

IdentifierTypeStateIssuer
7132764MedicaidWA
7132244MedicaidWA
1117829MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080902000560 WA Practitioner - Family Practice 8820082936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan College of Medicine and Surgery, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

117 Ramsey Way
Valley View Toledo
Toledo, WA 98591-9900
Phone (360) 864-4400

2690 NE Kresky Ave
Chehalis, WA 98532-2412
Phone (360) 330-9595

4254 Jackson Hwy
Chehalis, WA 98532-8424
Phone (360) 729-0160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Community Health Services Current Accepting new patients
Lewis County Community Health Services CurrentSince Jan 2, 2024 Accepting new patients
Lewis County Community Health Services CurrentSince Jan 2, 2024 Accepting new patients
Marys Corner Medical Clinic Inc. PS Family Medicine Past Accepting new patients
Lewis County Community Health Services Past Accepting new patients

Locations

2690 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 330-9595

4254 Jackson Hwy
Chehalis, WA 98532
Phone (360) 262-3966

Interoperability endpoints

  • Direct secure messaging: robert.mcelhaneymd.p1@direct.valleyviewhc.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1730162124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 JACKSON HWY",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328424",
            "telephone_number": "360-262-3966",
            "fax_number": "360-262-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 JACKSON HWY",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328424",
            "telephone_number": "360-262-3966",
            "fax_number": "360-262-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELHANEY",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00039760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132764",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132244",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117829",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

Verify at the official NPI Registry.