Robert W Phares, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0086835 Issued in MD

Practice address

1027 Memorial Dr
Oakland, MD 21550-4343

Phone

(301) 533-3300

Fax

(301) 533-3299

NPI assigned

May 16, 2006

Last updated

Oct 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV, PA, ME3 enrollments

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 3

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4

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.

• Centerville Clinics, Inc.

  • Family Medicine Physician
  • Fredericktown, PA
  • NPI 1801877048

  Single Specialty

  Medicare reassignment NPD
• Eastport Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eastport, ME
  • NPI 1093752917

  Single Specialty

  Medicare reassignment NPD
• New Beginnings Therapy Services, LLC

  • Professional Counselor
  • Princeton, WV
  • NPI 1811355597

  Single Specialty

  Medicare reassignment NPD
• Robert Phares PLLC

  • Health Service Clinic/Center
  • Morgantown, WV
  • NPI 1083178081
  NPD Authorized official
• Centerville Clinics, Inc

  • Specialist
  • Fredericktown, PA
  • NPI 1720339393

  Single Specialty

  NPD
• Centerville Clinics, Inc.

  • Radiologic Technologist
  • Fredericktown, PA
  • NPI 1568566867

  Single Specialty

  NPD
• Centerville Clinics, Inc.

  • Clinical Medical Laboratory
  • Fredericktown, PA
  • NPI 1811978166
  NPD
• Centerville Clinics, Inc.

  • Cardiovascular Disease Physician
  • Fredericktown, PA
  • NPI 1902887250

  Single Specialty

  NPD
• Centerville Clinics, Inc.

  • Podiatrist
  • Fredericktown, PA
  • NPI 1922089275

  Single Specialty

  NPD
• Eastport Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Machias, ME
  • NPI 1295020691
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• New Beginnings Therapy Services, LLC

  dba new beginnings therapy service s

  • Community/Behavioral Health Agency
  • Princeton, WV
  • NPI 1427658632
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1083666598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N WIND WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081117",
            "telephone_number": "304-240-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 N Wind Way",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081117",
            "country_code": "US",
            "telephone_number": "304-240-5967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHARES",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21259",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0086835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005711000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charise Peddicord, LCPC
• Diana L Pepe, CRNP
• Richard Grover Perry, MD
• Rina V Pesce, PH.D.
• Kabrima Y Petty, DNP, APRN, NP-C
• Hana Pike, RDN, LDN
• Crystal Ann Piras, DO
• Pivotal Behavioral Services LLC
• Ashley Danielle Plotczyk, LGPC
• Madonna Cooper Pool, MS., LCADC, LCPC

• Family Medicine Physician in Oakland, MD
• Providers in Oakland, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.