Individual provider Active NPI

Robert Conrad Becker, M.D.

  • Diagnostic Radiology Physician
  • Tupelo, MS
National Provider Identifier
1033157672
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
15888 Issued in MS
Practice address
620 Crossover Road
Tupelo, MS 38801-4944
Phone
(662) 620-7101
Fax
(662) 842-1457
NPI assigned
Jun 4, 2006
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 15888 MS Primary

Addresses

Primary practice location

620 Crossover Road
Tupelo, MS 38801-4944

Mailing address

Post Office Box 980
Tupelo, MS 38802-0980
Phone (662) 620-7101

Other practice location 1

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6622

Other identifiers 4

IdentifierTypeStateIssuer
300087629OtherMSRAILROAD MEDICARE
P00359769OtherMSRAILROAD MEDICARE
00118711MedicaidMS
009709460MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041206001014 MS Practitioner - Diagnostic Radiology 0345201604 Reassigns benefits to 14 organizations
I20060125000543 AL Practitioner - Diagnostic Radiology 0345201604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
East Tennessee State University Quillen College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Pre Op and Imaging Center LLCGroup PAC ID 0840444998, 20 clinicians
Imaging Centers for Excellence, LLCGroup PAC ID 6406854538, 17 clinicians
Premier Radiology IncGroup PAC ID 2769452242, 26 clinicians
Imaging Center at Gloster Creek Village PLLCGroup PAC ID 5991771255, 20 clinicians
Tate County HospitalGroup PAC ID 6103282165, 35 clinicians
Medical Imaging, LLCGroup PAC ID 5698731271, 20 clinicians

Practice addresses (Care Compare)

1202 Office Park Dr
Suite a
Oxford, MS 38655-5267
Phone (662) 234-5545

1207 Hwy 182 W
Suite a
Starkville, MS 39759-9013
Phone (662) 320-6800

1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611

17550 E Main St
Louisville, MS 39339-2772
Phone (662) 773-6211

320 S Gloster St
Tupelo, MS 38801-4748
Phone (662) 841-7880

3229 N Hill Dr
Tupelo, MS 38804-9787
Phone (662) 842-1758

3509 Hwy 4 W
Sarah, MS 38665-3567
Phone (662) 612-0311

401 Getwell Dr
Senatobia, MS 38668-2213
Phone (662) 612-0311

620 Crossover Rd
Tupelo, MS 38801-4944
Phone (662) 620-7101

830 S Gloster St
Radiology Consultants
Tupelo, MS 38801-4934
Phone (662) 377-3000

891 Mississippi Dr
Tupelo, MS 38804-0934
Phone (662) 377-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19767ALMDPharmacist
15888MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Regional Medical Center CurrentSince Jan 23, 2024 Accepting new patients
North Sunflower Medical Center Current Accepting new patients
Premier Radiology, Inc Diagnostic Radiology CurrentSince Jun 22, 1998 Accepting new patients
Tippah County Hospital CurrentSince Sep 1, 2023 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jul 1, 2024 Accepting new patients
Baptist Memorial Hospital-Calhoun Inc CurrentSince Sep 1, 2023 Accepting new patients
Medical Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2005 Accepting new patients
Tippah County Hospital Current Accepting new patients
Tate County Hospital Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
Tate County Hospital Current Accepting new patients
Medical Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2005 Accepting new patients
Winston County Medical Foundation CurrentSince Feb 5, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Sunflower Medical Center CurrentSince Mar 4, 2019 Accepting new patients
North Mississippi Medical Center Inc. CurrentSince Jan 1, 2026 Accepting new patients
Imaging Center at Gloster Creek Village PLLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jul 1, 2024 Accepting new patients
Tippah County Hospital CurrentSince Sep 1, 2023 Accepting new patients
Tate County Hospital CurrentSince May 1, 2023 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Current Accepting new patients
Imaging Centers for Excellence, LLC Diagnostic Radiology CurrentSince Aug 1, 2006 Accepting new patients
North Sunflower Medical Center CurrentSince Mar 4, 2019 Accepting new patients
Wave Diagnostics LLC CurrentSince Jul 1, 2025 Accepting new patients
Oxford Pre Op & Imaging Center LLC CurrentSince Sep 29, 2018 Accepting new patients
Premier Interventional Radiology Clinic Current Accepting new patients
Baptist Memorial Hospital-Calhoun Inc CurrentSince Sep 1, 2023 Accepting new patients
North Sunflower Medical Center Current Accepting new patients
North Mississippi Medcial Center, Inc. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Baptist Memorial Hospital - Calhoun, Inc Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Strayhorn Family Medical Clinic, LLC PastSince Jun 10, 2019 Accepting new patients

Locations

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

112 Medical Arts Dr
Calhoun City, MS 38916
Phone (662) 628-1274

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

1202 Office Park Dr
Ste A
Oxford, MS 38655
Phone (662) 234-5545

1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221

1005 City Ave N
#A
Ripley, MS 38663
Phone (662) 837-2202

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

3509 Highway 4 W
Sarah, MS 38665
Phone (662) 612-0311

401 Getwell Dr
Senatobia, MS 38668
Phone (662) 562-3100

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

1207 Highway 182 W
Ste A
Starkville, MS 39759
Phone (662) 320-6800

320 S Gloster St
Tupelo, MS 38801
Phone (662) 821-1831

616 Crossover Rd
Tupelo, MS 38801
Phone (662) 377-6820

620 Crossover Rd
Tupelo, MS 38801
Phone (662) 620-7101

620 Crossover Rd
#A
Tupelo, MS 38801

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

891 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19510/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/chocrmc-b09bb3d6
  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de
  • Direct secure messaging: robert.becker.1@15070.direct.athenahealth.com
  • Direct secure messaging: robertbecker@nmhs.medalliesdirect.net

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 5

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1033157672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 980",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020980",
            "telephone_number": "662-620-7101",
            "fax_number": "662-842-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CROSSOVER ROAD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014944",
            "telephone_number": "662-620-7101",
            "fax_number": "662-842-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Burke Calhoun City Rd",
            "address_purpose": "LOCATION",
            "city": "Calhoun City",
            "state": "MS",
            "postal_code": "389169690",
            "country_code": "US",
            "telephone_number": "662-628-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ROBERT",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "15888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300087629",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00359769",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118711",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009709460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.