Active NPI
Robert Edward Holmes, MD
- Orthopaedic Surgery Physician
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD60937681
- Practice address
- 11511 Canterwood Blvd Ste 205
Gig Harbor, WA 98332-5818 - Phone
- (253) 530-2663
- NPI assigned
- Apr 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD60937681 | WA | Primary |
Addresses
Primary practice location
11511 Canterwood Blvd Ste 205
Gig Harbor, WA 98332-5818
Mailing address
11511 Canterwood Blvd Ste 205
Gig Harbor, WA 98332-5818
Phone (253) 530-2663
Other practice location 1
6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-7500
Other practice location 2
96 Jonathan Lucas St # St708
Charleston, SC 29425-8900
Phone (843) 792-0245
Other practice location 3
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141658 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rholmes513807@fhsce.catholichealth.net | Direct | |
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Geisel School of Medicine at Dartmouth, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Hospital & facility affiliations
- St Clare Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60937681 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
Interoperability endpoints
- rholmes4282715@ghc.direct-ci.net
- rholmes513807@fhsce.catholichealth.net
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, WA
- NPI 1689672693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1811253586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD STE 205",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325818",
"telephone_number": "253-530-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD STE 205",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325818",
"telephone_number": "253-530-2663"
}
],
"practiceLocations": [
{
"address_1": "6400 Fannin St Ste 1700",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301526",
"country_code": "US",
"telephone_number": "713-486-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 Jonathan Lucas St # St708",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258900",
"country_code": "US",
"telephone_number": "843-792-0245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "209 Martin Luther King Jr Way",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054265",
"country_code": "US",
"telephone_number": "253-596-3300",
"fax_number": "253-596-3301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-07",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD60937681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2141658",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rholmes513807@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11511 Canterwood Blvd Ste 205",
"city": "Gig Harbor",
"state": "WA",
"country_code": "US",
"postal_code": "983325818",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "209 Martin Luther King Jr Way",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.