Individual provider Active NPI

Robert H. Goebel, M.D.

  • Radiation Oncology Physician
  • Bluffton, SC
National Provider Identifier
1174620504
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2085R0001X Issued in CA
Practice address
100 Buckwalter Place Blvd Ste 150
Bluffton, SC 29910-5023
Phone
(843) 836-7120
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Q2667 TX
Radiation Oncology Physician 2085R0001X MD182377 OR
Radiation Oncology Physician 2085R0001X MD60457211 WA
Radiation Oncology Physician 2085R0001X 37612 IA
General Practice Physician 208D00000X G-38910 CA
Radiation Oncology Physician 2085R0001X 2085R0001X CA Primary

Addresses

Primary practice location

100 Buckwalter Place Blvd Ste 150
Bluffton, SC 29910-5023

Mailing address

16201 Typhoon LN
Huntington Beach, CA 92649-2541
Phone (714) 421-7927

Other practice location 1

12410 E Sinto Ave Ste B
Suite A100
Spokane Valley, WA 99216-2280
Phone (509) 838-2531

Other practice location 2

2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171

Other identifiers 2

IdentifierTypeStateIssuer
863603MedicaidSC
00G389100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR, SC3 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

Enrollment IDStateProvider typePAC IDDetails
I20150422002450 AZ Practitioner - Radiation Oncology 6608787809 Reassigns benefits to 1 organization
I20230206001133 OR Practitioner - Radiation Oncology 6608787809 Reassigns benefits to 1 organization
I20240716000507 SC Practitioner - Radiation Oncology 6608787809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Rutgers New Jersey Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJC Oncology Services South Carolina LLCGroup PAC ID 0143217273, 14 clinicians

Practice addresses (Care Compare)

100 Buckwalter Place Blvd
Suite 150
Bluffton, SC 29910-5023
Phone (843) 836-7120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34242AZMDAnesthesiology Physician
2085R0001XCAMDRadiation Oncology Physician
MD60457211WAMDRadiation Oncology Physician
G-38910CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jan 3, 2023 Accepting new patients
SJC Oncology Services-South Carolina, LLC Radiation Oncology CurrentSince Jun 24, 2024 Accepting new patients
St Josephs Pathology Current Accepting new patients
Sky Lakes Medical Center Inc General Practice CurrentSince Jan 3, 2023 Accepting new patients
Sjhmc Physician Services CurrentSince Feb 21, 2015 Accepting new patients
Christus Health Ark-la-Tex General Practice Current Accepting new patients
Beverly Oncology & Imaging Center Medical GR Radiation Oncology Past Accepting new patients

Locations

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

File 56765
Los Angeles, CA 90074

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

100 Buckwalter Place Blvd
Ste 150
Bluffton, SC 29910
Phone (843) 208-2895

25 Hospital Center Blvd
Ste 101
Hilton Head Island, SC 29926
Phone (843) 689-6490

2604 Saint Michael Dr
Fl 1
Texarkana, TX 75503
Phone (903) 614-2051

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

2604 Saint Michael Dr
Ste 238
Texarkana, TX 75503
Phone (903) 614-5480

Interoperability endpoints

  • Direct secure messaging: robert.goebel.2@1739.direct.athenahealth.com

Organizations & group practices 8

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1174620504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 TYPHOON LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492541",
            "telephone_number": "714-421-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUCKWALTER PLACE BLVD STE 150",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105023",
            "telephone_number": "843-836-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12410 E Sinto Ave Ste B",
            "address_2": "Suite A100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992162280",
            "country_code": "US",
            "telephone_number": "509-838-2531",
            "fax_number": "509-755-6580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 Uhrmann Rd",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "97601",
            "country_code": "US",
            "telephone_number": "541-274-4171",
            "fax_number": "541-274-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "ROBERT",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "Q2667",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD182377",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD60457211",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "37612",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G-38910",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "2085R0001X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863603",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G389100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.