CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC
NPI 1760785281
Preventive Medicine - Occupational Medicine in Olympia, WA

Active since December 07, 2010
3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502(360) 956-1299(360) 704-4751 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, Sep 14, 2022, Aug 28, 2020 (3 updates tracked since 2020).

About Capital Medical Center Specialty Physicians, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC (NPI 1760785281) is a healthcare organization registered as an occupational medicine in Olympia, Washington and active in the NPI registry since December 2010. The organization lists William Glenn Robertson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760785281
Entity TypeOrganization
Primary Taxonomy2083X0100X
Legal Business NameCAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC
Location Address3900 CAPITOL MALL DR SWOlympia, WA 98502-8654
Mailing AddressP.o. Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299
Fax(360) 704-4751
Organization SubpartNo
Authorized OfficialWilliam Glenn RobertsonCeo · (253) 403-1272
Enumeration DateDecember 7, 2010
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1760785281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Also ListedUrologyTaxonomy 208800000X
Also ListedHospitalistTaxonomy 208M00000X
3900 CAPITOL MALL DR SW, Olympia, WA 98502

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capital Medical Center Specialty Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20110104000592Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

220

Medicare enrollment records show 220 clinicians reassign Medicare billing to Capital Medical Center Specialty Physicians, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Anesthesiology50
Internal Medicine28
Obstetrics/Gynecology26
Certified Registered Nurse Anesthetist (CRNA)23
Nurse Practitioner21
Urology17
Family Practice10
General Surgery8
12 other specialties37

Nearest to this location (20)

See all 220
Internal Medicine
NPI 1053320309
3900 CAPITOL MALL DR SW SW
Olympia, WA 98502
(360) 754-5858
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1588653398
3920 CAPITOL MALL DR SW STE 400
Olympia, WA 98502
(360) 705-1259
✔ PECOSSame address
Otolaryngology
NPI 1013111673
3920 CAPITAL MALL DR SW STE 100A
Olympia, WA 98502
(360) 704-4745
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1093923997
3901 CAPITAL MALL DR SW
Olympia, WA 98502
(425) 407-1500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508674516
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 754-5858
✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1215384003
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 754-5858
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386365963
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 754-5858
✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1720540792
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 706-6212
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1700272028
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 704-4743
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1144644345
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 704-4743
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1023105764
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 706-6212
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1497086698
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 706-6209
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1821520156
3920 CAPITAL MALL DR SW STE 201
Olympia, WA 98502
(360) 706-6280
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1245554294
3920 CAPITAL MALL DR SW STE 201
Olympia, WA 98502
(360) 596-4880
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1962923847
3920 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 705-1259
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1982477683
3920 CAPITAL MALL DR SW STE 400
Olympia, WA 98502
(360) 705-1259
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023749397
3920 CAPITAL MALL DR SW STE 400
Olympia, WA 98502
(360) 705-1259
✔ PECOS✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1902054760
3920 CAPITAL MALL DR SW STE 100A
Olympia, WA 98502
(360) 704-4745
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1376064410
601 MCPHEE RD SW BLDG 1
Olympia, WA 98502
(564) 669-5050
✔ PECOS✔ Accepts Medicare0.2 mi
Physical Therapist in Private Practice
NPI 1235493636
601 MCPHEE RD SW BLDG 1
Olympia, WA 98502
(360) 596-4614
✔ Accepts Medicare0.2 mi
See all 220 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Capital Medical Center Specialty Physicians, LLC's NPI number?

The NPI number for Capital Medical Center Specialty Physicians, LLC is 1760785281. It was assigned to this organization in the NPPES registry on December 7, 2010.

Where is Capital Medical Center Specialty Physicians, LLC located?

Capital Medical Center Specialty Physicians, LLC is located at 3900 Capitol Mall Dr SW, Olympia, WA 98502. The listed phone number is (360) 956-1299.

What is Capital Medical Center Specialty Physicians, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Capital Medical Center Specialty Physicians, LLC enrolled in Medicare?

Yes. Capital Medical Center Specialty Physicians, LLC is registered in the Medicare PECOS enrollment system.

When is Capital Medical Center Specialty Physicians, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Capital Medical Center Specialty Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 220 clinicians in 20 Medicare specialties reassign their Medicare billing to Capital Medical Center Specialty Physicians, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (50), Internal Medicine (28) and Obstetrics/Gynecology (26). Of these, 3 practice at this address and 46 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Capital Medical Center Specialty Physicians, LLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Capital Medical Center Specialty Physicians, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Capital Medical Center Specialty Physicians, LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.