Individual provider Active NPI

Robert A McKinley, M.D., F.C.C.P.

  • Pulmonary Disease Physician
  • Marietta, OH
National Provider Identifier
1053425637
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.120455 Issued in OH
Practice address
400 Matthew St
Suite 305
Marietta, OH 45750-1644
Phone
(740) 568-5662
Fax
(740) 568-5672
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA05394400 NJ
Pulmonary Disease Physician 207RP1001X 35.120455 OH Primary

Addresses

Primary practice location

400 Matthew St
Suite 305
Marietta, OH 45750-1644

Mailing address

PO Box 449
Marietta, OH 45750-0449

Other practice location 1

210 N 7th St Ste 100
Marietta, OH 45750-2244
Phone (740) 568-5310

Other identifiers 2

IdentifierTypeStateIssuer
1752600MedicaidNJ
0076874MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address robert.mckinley@mmhs.medicity.net
Direct Messaging Address robert.mckinley@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130108000114 OH Practitioner - Pulmonary Disease 5193719904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Rutgers New Jersey Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 568-2000

210 N 7TH St
Marietta, OH 45750-2244

400 Matthew St
Suite 305
Marietta, OH 45750-1600
Phone (740) 568-5662

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

799 Farson St
Suite 210
Belpre, OH 45714-1044
Phone (740) 423-3082

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.15 of 100Reported as individual
Quality
76.22
Improvement activities
40
Cost
77.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05394400NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Dec 1, 2012 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital CurrentSince Dec 1, 2012 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients
Kimball Medical Center, Inc Past Accepting new patients
Monmouth Ocean Pulmonary Medicine, LLC Pulmonary Disease Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients

Locations

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

400 Matthew St
Ste 305
Marietta, OH 45750
Phone (740) 373-0880

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

210 N 7th St
Ste 100
Marietta, OH 45750
Phone (740) 374-2999

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

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.

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1053425637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST",
            "address_2": "SUITE 305",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501644",
            "telephone_number": "740-568-5662",
            "fax_number": "740-568-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N 7th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457502244",
            "country_code": "US",
            "telephone_number": "740-568-5310",
            "fax_number": "740-434-0619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "M.D., F.C.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA05394400",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.120455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1752600",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076874",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.mckinley@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "210 N 7th St Ste 100",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457502244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.mckinley@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St",
            "address_2": "Suite 305",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.