Individual provider Active NPI

Robert H Papadopoulos, M.D.

  • Surgery Physician
  • Arcadia, CA
National Provider Identifier
1235142951
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G57027 Issued in CA
Practice address
612 W Duarte Rd
Suite 602
Arcadia, CA 91007-7602
Phone
(626) 446-4645
Fax
(626) 446-1626
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G57027 CA Primary

Addresses

Primary practice location

612 W Duarte Rd
Suite 602
Arcadia, CA 91007-7602

Mailing address

612 W Duarte Rd
Suite 602
Arcadia, CA 91007-7602
Phone (626) 446-4645

Other identifiers 1

IdentifierTypeStateIssuer
00570270MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110104000587 CA Practitioner - General Surgery 1951305770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57027CAMDSurgery Physician
57027CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Surgical Associates Surgery CurrentSince Aug 1, 1988 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

612 W Duarte Rd
Ste 602
Arcadia, CA 91007
Phone (626) 446-4645

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235142951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 602",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-446-4645",
            "fax_number": "626-446-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 602",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-446-4645",
            "fax_number": "626-446-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G57027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00570270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.