Individual provider Active NPI

Robert Blaine Hopp, M.D.

  • Dermatology Physician
  • Kennewick, WA
National Provider Identifier
1801835509
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
24575 Issued in WA
Practice address
8901 W Gage Blvd
Kennewick, WA 99336-7148
Phone
(509) 735-1100
Fax
(509) 735-1180
NPI assigned
Jun 6, 2006
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 24575 WA Primary
MOHS-Micrographic Surgery Physician 207ND0101X 24575 WA
Dermatopathology Physician 207ND0900X 24575 WA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 24575 WA

Addresses

Primary practice location

8901 W Gage Blvd
Kennewick, WA 99336-7148

Mailing address

8901 W Gage Blvd
Kennewick, WA 99336-7148
Phone (509) 735-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040804001761 WA Practitioner - Dermatology 7911978663 Reassigns benefits to 1 organization
I20120912000245 OR Practitioner - Dermatology 7911978663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 W Elm Ave
Suite 220
Hermiston, OR 97838-2714
Phone (509) 735-1100

8901 W Gage Blvd
Kennewick, WA 99336-7148
Phone (509) 735-1100

Merit-based Incentive Payment System (MIPS)

Final score
97.18 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions17
Removal of skin cancer1168
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24575WAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Excellence in Dermatology PLLC CurrentSince Sep 10, 2012 Accepting new patients

Locations

1050 W Elm Ave
Ste 220
Hermiston, OR 97838
Phone (509) 735-1100

8901 W Gage Blvd
Kennewick, WA 99336
Phone (509) 628-1911

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1801835509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367148",
            "telephone_number": "509-735-1100",
            "fax_number": "509-735-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367148",
            "telephone_number": "509-735-1100",
            "fax_number": "509-735-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPP",
        "first_name": "ROBERT",
        "middle_name": "BLAINE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "24575",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "24575",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WA",
            "license": "24575",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "WA",
            "license": "24575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.