Individual provider Active NPI

Robert C Pence, MD

  • Emergency Medicine Physician
  • Batavia, OH
National Provider Identifier
1255336814
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35082151 Issued in OH
Practice address
3000 Hospital Dr
Ste. 130
Batavia, OH 45103-1921
Phone
(513) 735-8924
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35082151 OH Primary

Addresses

Primary practice location

3000 Hospital Dr
Ste. 130
Batavia, OH 45103-1921

Mailing address

3000 Hospital Dr
Ste. 130
Batavia, OH 45103-1921
Phone (513) 735-8924

Other identifiers 3

IdentifierTypeStateIssuer
2415443MedicaidOH
200489180MedicaidIN
64083686MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040720001432 OH Practitioner - Emergency Medicine 7416937685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wright State University Boonshoft School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 369-2000

3000 Hospital Dr
Suite 130
Batavia, OH 45103-1921
Phone (513) 735-8924

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Mar 16, 2015 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Jun 4, 2022 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Jun 4, 2022 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Samaritan Emergency Corp Emergency Medicine Past Accepting new patients

Locations

3000 Hospital Dr
Ste 130
Batavia, OH 45103
Phone (513) 735-8924

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1255336814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DR",
            "address_2": "STE. 130",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031921",
            "telephone_number": "513-735-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DR",
            "address_2": "STE. 130",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031921",
            "telephone_number": "513-735-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35082151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2415443",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200489180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64083686",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.