Robert Nicholas Severinac, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

01043388A Issued in IN

Practice address

10020 Dupont Circle CT
Suite 100
Fort Wayne, IN 46825-1620

Phone

(260) 489-0099

Fax

(260) 489-0066

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: robert.severinac@564395667750916.direct.elationemr.com

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033120969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 DUPONT CIRCLE CT",
            "address_2": "SUITE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251620",
            "telephone_number": "260-489-0099",
            "fax_number": "260-489-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 DUPONT CIRCLE CT",
            "address_2": "SUITE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251620",
            "telephone_number": "260-489-0099",
            "fax_number": "260-489-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINAC",
        "first_name": "ROBERT",
        "middle_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01043388A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Setser
• Jasmine Settlemyre, RN
• Emma Rebecca Settles, LPN
• Seven Hills OB-GYN Associates LLC
• Seven Hills OB-GYN Associates, LLC
• Amber Sewell, LMHCA
• Danielle Sewell, FNP-C
• Tessa Sewell, RBT
• Mark Sexton, ATC, DPT
• Melissa K Sezginer, MA, LMHC

• Plastic Surgery Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.