Individual provider Active NPI

Robert Steven Slack, MD

  • Critical Care Medicine (Internal Medicine) Physician
National Provider Identifier
1760467492
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A52230 Issued in CA
Practice address
Landstuhl Regional Medical Center
Attn McEul DCCS (Credentials), CMR 402
Apo, AE 09180
Phone
011496371868839
NPI assigned
Dec 15, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A52230 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A52230 CA Primary
Pulmonary Disease Physician 207RP1001X A52230 CA

Addresses

Primary practice location

Landstuhl Regional Medical Center
Attn McEul DCCS (Credentials), CMR 402
Apo, AE 09180

Mailing address

CMR 427
Box 2278
Apo, AE 09630
Phone 393351201124

Other identifiers 1

IdentifierTypeStateIssuer
CAL A52230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040921000587 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 7810965530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians

Practice addresses (Care Compare)

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52230CAMDPharmacist
A52230CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Rideout Memorial Hospital CurrentSince Oct 23, 2023 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Franciscan Care Services Inc Past Accepting new patients
Franciscan Care Services Inc Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Interoperability endpoints

  • Direct secure messaging: rslack20486@direct.svmh.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 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1760467492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "CMR 427",
            "address_2": "BOX 2278",
            "city": "APO",
            "state": "AE",
            "postal_code": "09630",
            "telephone_number": "393351201124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
            "address_2": "ATTN MCEUL DCCS (CREDENTIALS), CMR 402",
            "city": "APO",
            "state": "AE",
            "postal_code": "09180",
            "telephone_number": "011496371868839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52230",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A52230",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A52230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CAL A52230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.