Individual provider Active NPI

Robert Charles Turner, M.D.

  • Adult Medicine Physician
  • Lafayette, IN
National Provider Identifier
1144372863
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
01047367A Issued in IN
Practice address
3554 Promenade Pkwy
Suite H
Lafayette, IN 47909-8417
Phone
(765) 471-1100
Fax
(765) 471-1009
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 01047367A IN
Adult Medicine Physician 207QA0505X 01047367A IN Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 01047367A IN

Addresses

Primary practice location

3554 Promenade Pkwy
Suite H
Lafayette, IN 47909-8417

Mailing address

3554 Promenade Pkwy
Suite H
Lafayette, IN 47909-8417
Phone (765) 471-1100

Other identifiers 1

IdentifierTypeStateIssuer
000000186822OtherINANTHEM BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 2, 2016 through Nov 2, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047367AINMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medicine Addiction Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

3554 Promenade Pkwy
Ste H
Lafayette, IN 47909
Phone (765) 471-1100

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1144372863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 PROMENADE PKWY",
            "address_2": "SUITE H",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098417",
            "telephone_number": "765-471-1100",
            "fax_number": "765-471-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 PROMENADE PKWY",
            "address_2": "SUITE H",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098417",
            "telephone_number": "765-471-1100",
            "fax_number": "765-471-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IN",
            "license": "01047367A",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IN",
            "license": "01047367A",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "01047367A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000186822",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.