Payton Robert Skawinski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD61286460 Issued in WA

Practice address

231 Madison Ave S
Bainbridge Island, WA 98110-2503

Phone

(425) 739-5302

NPI assigned

Mar 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 21, 2022 through Mar 21, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1851852131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MADISON AVE S",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102503",
            "telephone_number": "425-739-5302",
            "fax_number": "253-237-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MADISON AVE S",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102503",
            "telephone_number": "425-739-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAWINSKI",
        "first_name": "PAYTON",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-05-15",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61286460",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri B Shoumaker, LMHCA
• Aidan Sievertson, LMT
• Chloe Samantha Simon, ATC
• Amy Beth Singh, LMT
• Sarah Eichenberger Singleton, APRN
• Melissa Slovek-Bonghi, RN, IBCLC
• Judith Christine Smith, ARNP
• Alyssa Smyth, PHD
• Soaring Suns Inc
• John Anthony Sobeck, MD

• Internal Medicine Physician in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.