Robert Sheppard Nickel, MD

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

66230 Issued in GA

Practice address

1405 Clifton Rd
Atlanta, GA 30322

Phone

(404) 785-1200

NPI assigned

Jun 14, 2008

Last updated

Jun 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Pediatric MedicineAlso: Hematology/Oncology

Education

Washington University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Children's HospitalGroup PAC ID 0244143170, 212 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Children's National Hospital Hospital, Washington, DC, CCN 093300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Children's Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  Medicare reassignment Care Compare group NPD
• Children's Hospital

  dba Children's National Specialty Pharmacy

  • Community/Retail Pharmacy
  • Silver Spring, MD
  • NPI 1326878349
  NPD
• Children's Hospital

  dba Children's National Medical Associates

  • Pediatrics Physician
  • Washington, DC
  • NPI 1780800128
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Children's Hospital

  dba Children's National Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Washington, DC
  • NPI 1255523403

  Hospital

  Care Compare affiliation
• Children's Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  Care Compare affiliation

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1053571810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 UPPERGATE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303220001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CLIFTON RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-785-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "ROBERT",
        "middle_name": "SHEPPARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-14",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "GA",
            "license": "66230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Renee Nicholson
• William J Nicholson, MD
• Nick a Defilippis, PH.D., PC
• Nick a Defilippis, PH.D., PC
• Christopher James Nickel, MD
• Andrea Nickels
• Heather Nickelsen
• Lela Nickens
• Dorran Nickerson
• Benoit Niclou

• Pediatric Hematology & Oncology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Hematology & Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.