ROBERT RUVKUN (PA-C) – Physician Assistant, NPI 1285816207
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for ROBERT RUVKUN (PA-C)
905 SPRUCE ST
STE. 300
SEATTLE, WA 981042474
Phone: (206) 461-6935
Fax: (206) 461-8382
Type: Mailing
The Unity and Oneness of all, 4400, 37th Avenue South, Columbia City, Rainier Vista, Seattle, King County, Washington, 98118, United States
SEATTLE, WA 981181609
Phone: (206) 461-6957
Fax: (206) 461-7810
Type: Location
515 3RD AVE
SEATTLE, WA 981042304
Phone: (206) 464-6454
Type: Location
955 POWELL AVE SW
RENTON, WA 980572908
Phone: (425) 277-1311
Type: Mailing
26401 PACIFIC HWY S STE 101
DES MOINES, WA 981989247
Phone: (425) 277-1311
Type: Location
3229 47TH AVE SW
SEATTLE, WA 981163316
Phone: (206) 409-2812
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080131000699 | I | Physician Assistant | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | FL | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | VA | |
| Physician Assistant | IL |
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