Individual provider Active NPI

Robert Edwin Spitzmiller, D.O

  • Neonatal-Perinatal Medicine Physician
  • Dayton, OH
National Provider Identifier
1023071305
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
34-008406 Issued in OH
Practice address
1 Wyoming St
Weber Building, Suite 3822
Dayton, OH 45409-2722
Phone
(937) 208-2912
Fax
(937) 208-4515
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X H0100210 MD
Neonatal-Perinatal Medicine Physician 2080N0001X 34-008406 OH Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 0102208461 VA

Addresses

Primary practice location

1 Wyoming St
Weber Building, Suite 3822
Dayton, OH 45409-2722

Mailing address

9901 Medical Center Dr
Rockville, MD 20850-3357
Phone (240) 826-7392

Other practice location 1

9901 Medical Center Dr
Rockville, MD 20850-3357
Phone (240) 826-7392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20241227000034 MD Practitioner - Pediatric Medicine 2567416837 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-008406OHMDNeonatal-Perinatal Medicine Physician
0102208461VAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc CurrentSince Nov 14, 2024 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Meritus Medical Center Inc CurrentSince Nov 14, 2024 Accepting new patients
Miami Valley Hospital Past Accepting new patients
Pediatrix Medical Group of Ohio Corp Neonatal-Perinatal Medicine Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients
Children'S Hospital Past Accepting new patients

Locations

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1023071305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "240-826-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "address_2": "WEBER BUILDING, SUITE 3822",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-2912",
            "fax_number": "937-208-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9901 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503357",
            "country_code": "US",
            "telephone_number": "240-826-7392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPITZMILLER",
        "first_name": "ROBERT",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "H0100210",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "34-008406",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VA",
            "license": "0102208461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.