Individual provider Active NPI

Robert G Nahill, M.D.

  • Pulmonary Disease Physician
  • Plymouth, MA
National Provider Identifier
1073503751
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
36111 Issued in MA
Practice address
116 Court St Ste 1
Plymouth, MA 02360-8710
Phone
(508) 747-1318
Fax
(508) 747-1410
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 36111 MA Primary

Addresses

Primary practice location

116 Court St Ste 1
Plymouth, MA 02360-8710

Mailing address

116 Court St
Plymouth, MA 02360-3808
Phone (508) 747-1318

Other identifiers 1

IdentifierTypeStateIssuer
2066793MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051019001000 MA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7416866728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Primary Care Associates of Plymouth, PCGroup PAC ID 5597707604, 4 clinicians

Practice addresses (Care Compare)

116 Court St
Plymouth, MA 02360-3808
Phone (508) 747-1318

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Primary Care Associates of Plymouth, PC Pulmonary Disease CurrentSince Jan 1, 1999 Accepting new patients

Locations

116 Court St
Ste 1
Plymouth, MA 02360
Phone (508) 747-1318

116 Court St
Plymouth, MA 02360
Phone (508) 746-2138

Interoperability endpoints

  • Direct secure messaging: robert.nahill.1@4342.direct.athenahealth.com

Organizations & group practices 1

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 6

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1073503751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603808",
            "telephone_number": "508-747-1318",
            "fax_number": "508-747-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COURT ST STE 1",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608710",
            "telephone_number": "508-747-1318",
            "fax_number": "508-747-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHILL",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "36111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066793",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.