NPIMap

Individual provider Active NPI

Robert D Nichols, MD

  • Family Medicine Physician
  • Ottawa, KS
National Provider Identifier
1063568673
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0433836 Issued in KS
Practice address
1418 S Main St
Suite 5
Ottawa, KS 66067-3543
Phone
(785) 242-1620
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0433836 KS Primary

Addresses

Primary practice location

1418 S Main St
Suite 5
Ottawa, KS 66067-3543

Mailing address

1418 S Main St
Suite 5
Ottawa, KS 66067-3543
Phone (785) 242-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000493 KS Practitioner - Family Practice 2567509607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ottawa Family Physicians, CharteredGroup PAC ID 7416900113, 11 clinicians
Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

1418 S Main St
Suite 5
Ottawa, KS 66067-3544
Phone (785) 242-1620

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
  • Adventhealth Home Health Home health agency, Shawnee Mission, KS, CCN 178058
  • Faith Home Healthcare, Inc Home health agency, Overland Park, KS, CCN 178107
  • Midland Care Home Health Home health agency, Topeka, KS, CCN 178090
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • LMH Hospital, Lawrence, KS, CCN 170137
  • Anderson County Hospital Hospital, Garnett, KS, CCN 171316
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • Rock Creek of Ottawa Nursing home, Ottawa, KS, CCN 175332

Merit-based Incentive Payment System (MIPS)

Final score
79.71 of 100Reported as group
Quality
80.22
Improvement activities
40
Cost
58.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0433836KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Franklin CurrentSince Feb 1, 2023 Accepting new patients
Ottawa Family Physicians, Chartered Family Medicine CurrentSince Aug 9, 2009 Accepting new patients
Ottawa Family Physicians, Chartered Family Medicine CurrentSince Aug 9, 2009 Accepting new patients
Health Partnership Clinic, Inc. PastSince Feb 1, 2023 Accepting new patients

Locations

1418 S Main St
Ste 1
Ottawa, KS 66067
Phone (785) 229-3530

1418 S Main St
Ste 5
Ottawa, KS 66067
Phone (785) 242-1620

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ottawa Family Physicians, CharteredOttawa, KS, CCN 173876 Rural health clinic 5% Or Greater Direct Ownership Interest
General Partnership Interest		 Aug 1, 2011
Aug 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1063568673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673543",
            "telephone_number": "785-242-1620",
            "fax_number": "785-242-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673543",
            "telephone_number": "785-242-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0433836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.