Individual provider Active NPI

Irene Robertson, D.O.

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1871955203
Registry record updated Oct 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60963582 Issued in WA
Practice address
2420 S Union Ave Ste 300
Tacoma, WA 98405-1387
Phone
(253) 680-6200
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP60963582 WA Primary

Addresses

Primary practice location

2420 S Union Ave Ste 300
Tacoma, WA 98405-1387

Mailing address

PO Box 5299
Tacoma, WA 98415-0299
Phone (206) 819-7713

Other names 1

  • Irene Smarr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 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
I20191114001239 WA Practitioner - Family Practice 7113213109 Reassigns benefits to 1 organization
I20250107001983 TX Practitioner - Family Practice 7113213109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulalip Tribes of WashingtonGroup PAC ID 7719879782, 24 clinicians

Practice addresses (Care Compare)

7520 Totem Beach Rd
Tulalip, WA 98271-6160
Phone (360) 716-4511

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Tribes of Washington CurrentSince Nov 6, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Sep 6, 2019 Accepting new patients
Tulalip Tribes of Washington Current Accepting new patients
Tulalip Tribes of Washington CurrentSince Nov 6, 2024 Accepting new patients
Multicare Health System CurrentSince Sep 6, 2019 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2420 S Union Ave
Ste 300
Tacoma, WA 98405
Phone (206) 756-0888

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

6406 Marine Dr
Ste A
Tulalip, WA 98271

Organizations & group practices 6

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570233600000",
    "number": "1871955203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299",
            "telephone_number": "206-819-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051387",
            "telephone_number": "253-680-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "IRENE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60963582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "SMARR",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.