NPIMap

Individual provider Active NPI

Robert Lee Caulkins, D.O.

  • Family Medicine Physician
  • Bremerton, WA
National Provider Identifier
1992744031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001096 Issued in WA
Practice address
2601 Cherry Ave
Suite 208
Bremerton, WA 98310-4203
Phone
(360) 373-9191
Fax
(360) 373-8682
NPI assigned
Jun 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OP00001096 WA Primary

Addresses

Primary practice location

2601 Cherry Ave
Suite 208
Bremerton, WA 98310-4203

Mailing address

2601 Cherry Ave
Suite 208
Bremerton, WA 98310-4203
Phone (360) 373-9191

Other identifiers 1

IdentifierTypeStateIssuer
1017045MedicaidWA

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
I20070227000203 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7810099587 Receives reassigned benefits from 4 practitioners
Practice locations: Bremerton, WA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Ohio State University College of Homeopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

2601 Cherry Ave
Bremerton, WA 98310-4208
Phone (360) 373-9191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L. Caulkins, D.O. Family Medicine PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Hospital & facility affiliations 7

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992744031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE",
            "address_2": "SUITE 208",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104203",
            "telephone_number": "360-373-9191",
            "fax_number": "360-373-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE",
            "address_2": "SUITE 208",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104203",
            "telephone_number": "360-373-9191",
            "fax_number": "360-373-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULKINS",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017045",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.