Robin A Green Whipple, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00040692 Issued in WA

Practice address

1021 Mercer St
Seattle, WA 98109-4324

Phone

(206) 489-2530

Fax

(206) 489-2531

NPI assigned

Jun 22, 2005

Last updated

May 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Washington School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Dermatology PLLCGroup PAC ID 1456672096, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Modern Dermatology, PLLC

  • Dermatology Physician
  • Seattle, WA
  • NPI 1790178010
  Medicare reassignment Care Compare group NPD
• Brandith G Irwin MD PLLC

  dba Madison Skin and Laser Center

  • Dermatology Physician
  • Seattle, WA
  • NPI 1699831032
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1730185083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MERCER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094324",
            "telephone_number": "206-489-2530",
            "fax_number": "206-489-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MERCER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094324",
            "telephone_number": "206-489-2530",
            "fax_number": "206-489-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN WHIPPLE",
        "first_name": "ROBIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00040692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Lake Chiropractic & Nutritional Healing LLC
• Green Lake Facial Surgery PLLC
• Green Lake Family and Cosmetic Dentistry
• Green Lake Massage Health Center, LLC
• Green Point Acupuncture L.L.C.
• Gianna I Green-Baskett
• Suzette Faith Green-Roberts, OT
• Aaron J Green, M.D.
• Adam M Green, LMT
• Alexis Green

• Dermatology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.

Verify at the official NPI Registry.