Active NPI
Robert N Tracy, M.D.
- Family Medicine Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26618
- Practice address
- 413 South Loop Road
Edgewood, KY 41017-5446 - Phone
- (859) 301-3800
- Fax
- (859) 301-3987
- NPI assigned
- Jul 6, 2006
- Last updated
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26618 | KY | Primary |
Addresses
Primary practice location
413 South Loop Road
Edgewood, KY 41017-5446
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 781-4111
Other practice location 1
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Phone (859) 781-4111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64266182 | Medicaid | KY | |
| 0101286 | Medicaid | OH | |
| P00839856 | Other | KY | RAILROAD MEDICARE |
| 080092534 | Other | KY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
413 S Loop Rd
Edgewood, KY 41017-5446
Phone (859) 301-3800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26618 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| St. Elizabeth Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients | |
| Baptist Convalescent Center, Inc. | Past | Accepting new patients | |
| Cincinnati Health Care Group PSC | Past | Accepting new patients |
Locations
125 Saint Michael Dr
Cold Spring, KY 41076
Phone (859) 441-3120
334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
413 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-3800
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- rtracy5837@direct-prd.stelizabeth.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.
-
dba St. Elizabeth Healthcare
- Physician Assistant
- Erlanger, KY
- NPI 1932187937
Family Medicine
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
dba St. Elizabeth Center for Family Medicine
- Family Medicine Physician
- Edgewood, KY
- NPI 1710001185
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
dba St. Elizabeth Physicians Urgent Care
- Urgent Care Clinic/Center
- Highland Heights, KY
- NPI 1881026169
Family Medicine
-
dba Village Care Center
- Skilled Nursing Facility
- Erlanger, KY
- NPI 1619026754
-
- Ambulatory Surgical Clinic/Center
- Crestview Hills, KY
- NPI 1881616357
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Village Care Center
- Skilled Nursing Facility
- Erlanger, KY
- NPI 1619026754
Nursing home
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St Elizabeth Hospice
- Community Based Hospice Care Agency
- Edgewood, KY
- NPI 1689695322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1003848763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-781-4111",
"fax_number": "859-441-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 SOUTH LOOP ROAD",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175446",
"telephone_number": "859-301-3800",
"fax_number": "859-301-3987"
}
],
"practiceLocations": [
{
"address_1": "2626 Alexandria Pike",
"address_purpose": "LOCATION",
"city": "Highland Heights",
"state": "KY",
"postal_code": "410761530",
"country_code": "US",
"telephone_number": "859-781-4111",
"fax_number": "859-441-5214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRACY",
"first_name": "ROBERT",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "26618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64266182",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101286",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00839856",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080092534",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.