Robert A Willis, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

49641 Issued in KY

Practice address

800 Hospital Dr
Madisonville, KY 42431-1658

Phone

(270) 326-4800

Fax

(270) 326-4820

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TN, IL, TX, MN4 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 4

Specialty

Otolaryngology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health of Northern MinnesotaGroup PAC ID 5597725168, 349 clinicians

Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, 605 clinicians

Bristol Bay Area Health CorporationGroup PAC ID 5890699920, 114 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026
• Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.willis.1@15989.direct.athenahealth.com
• Direct secure messaging: rwillis56449@bhkydirect.com
• Direct secure messaging: rwillis@direct.excelahealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/JBIIBD
• Direct secure messaging: rwillis165329@direct-guthrie.org
• Direct secure messaging: rawillis@direct.anthc.org

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment Care Compare group NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Aleknagik North, AK
  • NPI 1235291246

  TX

  Medicare reassignment Care Compare group NPD
• Sanford Health of Northern Minnesota

  • Family Medicine Physician
  • Kelliher, MN
  • NPI 1770849697

  MN

  Medicare reassignment Care Compare group
• Southern Illinois Medical Services, NFP

  • Internal Medicine Physician
  • Carbondale, IL
  • NPI 1770656837

  IL

  Medicare reassignment NPD
• Tanana Chiefs Conference

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1821201278

  TX

  Medicare reassignment NPD
• Bristol Bay Area Health Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Dillingham, AK
  • NPI 1770645202
  Care Compare group NPD
• Bristol Bay Area Health Corporation

  • Critical Access Hospital
  • Dillingham, AK
  • NPI 1831270842
  Care Compare group NPD (past)
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1093924458
  Care Compare group
• Alaska Native Tribal Health Consortium

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1558570648
  Care Compare group
• Bristol Bay Area Health Corporation

  • Air Ambulance
  • Dillingham, AK
  • NPI 1992867238
  Care Compare group
• Sanford Health of Northern Minnesota

  • Occupational Medicine Physician
  • Bemidji, MN
  • NPI 1023496155
  Care Compare group
• Sanford Health of Northern Minnesota

  • Pharmacy
  • Bemidji, MN
  • NPI 1083933824
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1023290855

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1093924458

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1235348343

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1245439082

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1376752469

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1407065899

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437368891

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • Transportation Broker
  • Anchorage, AK
  • NPI 1518417344

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1558570648

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Anchorage, AK
  • NPI 1679931059

  Hospital

  Care Compare affiliation
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1750590840

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1225033434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GOLF CLUB CIR W",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758890",
            "telephone_number": "615-347-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311658",
            "telephone_number": "270-326-4800",
            "fax_number": "270-326-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 E Hospital Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694800",
            "country_code": "US",
            "telephone_number": "803-936-7530",
            "fax_number": "803-936-7532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011031",
            "country_code": "US",
            "telephone_number": "618-549-5361",
            "fax_number": "618-351-4878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011031",
            "country_code": "US",
            "telephone_number": "618-351-7300",
            "fax_number": "618-457-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "86684",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "81887",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036158466",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD454555",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "49641",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "M00000018696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81658",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwillis66760@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwillis66760@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Demetrica Williams
• Kelly King Williams
• Kevin Lee Williams, M.D.
• Megan McGrath Williams, M.S.-CCC- SLP
• Rayven Williams
• Anthony Wayne Wilson
• Kelsey Dawn Wilson, OTR
• Ronald Ray Wilson, CRNA
• Samantha Jane Winebarger, PHARMD
• Sherry L Winn, CFA

• All providers in Madisonville, KY
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.

Verify at the official NPI Registry.