Individual provider Active NPI

Robert Gordon Skwerer, MD

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1184683799
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9900134 Issued in NC
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

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1184683799MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101030000065 NC Practitioner - Psychiatry 6103010558 Reassigns benefits to 2 organizations

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
Mona R Gupta DO IncorporatedGroup PAC ID 8628386174, 24 clinicians

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. 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

LicenseStateTypeSpecialty
35-051448OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Mona R Gupta, DO Incorporated CurrentSince Dec 14, 2025 Accepting new patients
Mona R Gupta, DO Incorporated Psychiatry CurrentSince Jun 18, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.