NPIMap

Individual provider Active NPI

Robby C Riddle, MD

  • Family Medicine Physician
  • Nine Mile Falls, WA
National Provider Identifier
1942293055
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00041763 Issued in WA
Practice address
5952 Blackstone Way
Nine Mile Falls, WA 99026-4900
Phone
(509) 464-3627
Fax
(509) 466-9517
NPI assigned
Aug 24, 2005
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 MD00041763 WA Primary

Addresses

Primary practice location

5952 Blackstone Way
Nine Mile Falls, WA 99026-4900

Mailing address

3600 Lind Ave SW
Ste 100
Renton, WA 98057-4934
Phone (425) 656-5412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000666 WA Practitioner - Family Practice 9931141256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Health Programs AssociationGroup PAC ID 1951202373, shared by 8 NPIs, 10 clinicians

Practice addresses (Care Compare)

141 3Rd Ave
Orient, WA 99160-9418
Phone (509) 684-5521

3994 Colville Rd
Loon Lake, WA 99148-9789
Phone (509) 233-8412

5952 Blackstone Way
Nine Mile Falls, WA 99026-4900
Phone (509) 464-3627

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Mar 1, 2018 Accepting new patients
New Health Programs Association CurrentSince Apr 1, 2019 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
New Health Programs Association CurrentSince Apr 1, 2019 Accepting new patients
Community Health Association of Spokane CurrentSince Mar 1, 2018 Accepting new patients
New Health Programs Association Current Accepting new patients
Bourget Health Services Inc Past Accepting new patients
U.S. Healthworks Medical Group of Washington, PS Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients

Locations

518 E Clay Ave
Chewelah, WA 99109
Phone (509) 935-6004

358 N Main St
Colville, WA 99114
Phone (509) 684-1440

3994 Colville Rd
Loon Lake, WA 99148
Phone (509) 233-8412

435 W Walnut St
Newport, WA 99156
Phone (509) 447-0888

5952 Blackstone Way
Nine Mile Falls, WA 99026
Phone (509) 464-3627

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

203 N Washington St
Ste 300
Spokane, WA 99201

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

114 S Main St
Springdale, WA 99173
Phone (509) 258-4234

Interoperability endpoints

  • Direct secure messaging: robby.riddle.1@18424.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1942293055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574934",
            "telephone_number": "425-656-5412",
            "fax_number": "425-656-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 BLACKSTONE WAY",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990264900",
            "telephone_number": "509-464-3627",
            "fax_number": "509-466-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "ROBBY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nine Mile Falls, WA

Sources for this page

Verify at the official NPI Registry.