NPIMap

Individual provider Active NPI

Robert J Cordes, DO

  • Pediatrics Physician
  • Wyomissing, PA
National Provider Identifier
1073519732
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0S008221L Issued in PA
Practice address
2240 Ridgewood Rd
Ste 100
Wyomissing, PA 19610-1167
Phone
(610) 376-8691
Fax
(610) 376-8745
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0S008221L PA Primary

Addresses

Primary practice location

2240 Ridgewood Rd
Ste 100
Wyomissing, PA 19610-1167

Mailing address

2240 Ridgewood Rd
Ste 100
Wyomissing, PA 19610-1167
Phone (610) 376-8691

Other identifiers 2

IdentifierTypeStateIssuer
06032AOtherPAEPSDT
1158726MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S008221LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of the Northwest, PC Pediatrics PastSince Dec 21, 2025 Accepting new patients
Pediatric Associates of the Northwest, PC Pediatrics PastSince Oct 25, 2020 Accepting new patients
Reading Hospital Pediatrics Past Accepting new patients
The Childrens Clininic of Wyomissing Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rcordes@panw.pcc-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073519732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 RIDGEWOOD RD",
            "address_2": "STE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101167",
            "telephone_number": "610-376-8691",
            "fax_number": "610-376-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 RIDGEWOOD RD",
            "address_2": "STE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101167",
            "telephone_number": "610-376-8691",
            "fax_number": "610-376-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "0S008221L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "06032A",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158726",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.