Active NPI
Robert E Molina, MD
- Family Medicine Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00035624
- Practice address
- 3901 NE 4TH St Ste 105
Renton, WA 98056-4100 - Phone
- (425) 690-3410
- Fax
- (425) 690-9410
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | MD00035624 | WA | |
| Family Medicine Physician | 207Q00000X | MD00035624 | WA | Primary |
Addresses
Primary practice location
3901 NE 4TH St Ste 105
Renton, WA 98056-4100
Mailing address
3600 Lind Ave SW
Ste 100
Renton, WA 98055-4934
Phone (425) 656-5412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8216954 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmolina6324@direct.valleymed.org | Direct | |
| FHIR URL | https://FHIR.valleymed.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00035624 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Family Medicine | Current | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
24920 104th Ave SE
Kent, WA 98030
Phone (253) 395-1985
7203 129th Ave SE
Ste 100
Newcastle, WA 98056
Phone (425) 656-5406
4033 Talbot Rd S
Ste 570
Renton, WA 98055
Phone (425) 656-5400
3600 Lind Ave SW
Ste 100
Renton, WA 98057
3901 NE 4th St
Ste 105
Renton, WA 98056
Phone (425) 656-5500
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
Interoperability endpoints
- rmolina6324@direct.valleymed.org
Organizations & group practices 1
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": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1740294594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980554934",
"telephone_number": "425-656-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 NE 4TH ST STE 105",
"city": "RENTON",
"state": "WA",
"postal_code": "980564100",
"telephone_number": "425-690-3410",
"fax_number": "425-690-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WA",
"license": "MD00035624",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00035624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8216954",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmolina6324@direct.valleymed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "rmolina6324@direct.valleymed.org",
"address_1": "3901 NE 4th St Ste 105",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980564100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://FHIR.valleymed.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3901 NE 4th St Ste 105",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980564100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.