Individual provider Active NPI

Robert Dale Owen Jr., M.D.

  • Neurological Surgery Physician
  • Lexington, KY
National Provider Identifier
1003850736
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
36064 Issued in KY
Practice address
1207 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-6760
Fax
(859) 258-6512
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 36064 KY Primary

Addresses

Primary practice location

1207 S Broadway
Lexington, KY 40504-2701

Mailing address

1207 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other identifiers 1

IdentifierTypeStateIssuer
64121825MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000267 KY Practitioner - Neurosurgery 3173520384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians
Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians

Practice addresses (Care Compare)

1207 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

1225 S Broadway
Suite 201
Lexington, KY 40504-2701
Phone (859) 258-4568

3470 Blazer Pkwy
Suite 150
Lexington, KY 40509-1078
Phone (859) 263-8807

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Lexington, KY, CCN 187113
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Rockcastle County Hospital, Inc. Hospital, Mount Vernon, KY, CCN 180115
  • Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079
  • Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion159
Laminectomy or laminotomy (partial removal of spine bones)59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic PSC CurrentSince Aug 15, 2011 Accepting new patients
Kentuckyone Health Medical Group, Inc. Neurological Surgery CurrentSince Aug 1, 2018 Accepting new patients
Neurosurgical Associates PSC Neurological Surgery Current Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients
New Lexington Clinic, PSC CurrentSince Aug 15, 2011 Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1207 S Broadway
Lexington, KY 40504
Phone (859) 258-8519

1401 Harrodsburg Rd
Ste A540
Lexington, KY 40504
Phone (859) 258-6512

1401 Harrodsburg Rd
Ste A100
Lexington, KY 40504
Phone (859) 258-6505

3470 Blazer Pkwy
Ste 150
Lexington, KY 40509
Phone (859) 263-8807

Networks

  • KY PPO
  • TN PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • TN PPO C-SNP
  • KY PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: rowen286771@direct.stlukeshealth.org
  • Direct secure messaging: robert.owen.1@13059.direct.athenahealth.com
  • Direct secure messaging: robertowen@kysjhspe.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1003850736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6760",
            "fax_number": "859-258-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "ROBERT",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "36064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64121825",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.