Active NPI
Robert Gordon Skwerer, MD
- Psychiatry Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9900134
- Practice address
- 8304 Creedmoor Rd
Raleigh, NC 27613-1697 - Phone
- (919) 870-8409
- Fax
- (877) 622-8953
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-051448 | OH | |
| Psychiatry Physician | 2084P0800X | D0035081 | MD | |
| Psychiatry Physician | 2084P0800X | 9900134 | NC | Primary |
Addresses
Primary practice location
8304 Creedmoor Rd
Raleigh, NC 27613-1697
Mailing address
8304 Creedmoor Rd
Raleigh, NC 27613-1697
Phone (919) 870-8409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184683799 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rskwerer29105@directHISP.wakemed.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York Downstate Medical Center, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8304 Creedmoor Rd
Raleigh, NC 27613-1697
Phone (919) 870-8409
National Provider Directory
National Provider Directory- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-051448 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Mona R Gupta, DO Incorporated | Current | Accepting new patients | |
| Mona R Gupta, DO Incorporated | Psychiatry | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
510 W Williams St
Apex, NC 27502
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
8838 US Highway 70 W
Ste 700
Clayton, NC 27520
Phone (919) 553-5505
5518 NC Highway 55
Durham, NC 27713
2211 W Meadowview Rd
Ste 150
Greensboro, NC 27407
116 Gasoline Aly
Ste 105
Mooresville, NC 28117
8304 Creedmoor Rd
Raleigh, NC 27613
Phone (919) 870-7645
2920 Highwoods Blvd
Raleigh, NC 27604
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
111 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 216-2955
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
3019 Falstaff Rd
Raleigh, NC 27610
Phone (919) 250-7000
3801 Barrett Dr
Raleigh, NC 27609
Phone (703) 999-4182
Interoperability endpoints
- rskwerer29105@directhisp.wakemed.org
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
dba Gupta Wellness
- Substance Use Disorder Rehabilitation Clinic/Center
- Raleigh, NC
- NPI 1225414352
-
dba WakeMed - Virtual Cardiac Rehab
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Otolaryngology Physician
- Raleigh, NC
- NPI 1053976415
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1184683799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8304 CREEDMOOR RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131697",
"telephone_number": "919-870-8409",
"fax_number": "877-622-8953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8304 CREEDMOOR RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131697",
"telephone_number": "919-870-8409",
"fax_number": "877-622-8953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKWERER",
"first_name": "ROBERT",
"middle_name": "GORDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-051448",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0035081",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "9900134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184683799",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rskwerer29105@directHISP.wakemed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "xml",
"address_1": "3000 New Bern Ave",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.