Active NPI
Robert G. Holcomb, M.D.
- Neonatal-Perinatal Medicine Physician
- Overland Park, KS
National Provider Identifier
1255367603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 04-31630
- Practice address
- 10500 Quivira Rd
Overland Park, KS 66215-2306 - Phone
- (913) 310-0225
- Fax
- (913) 310-0565
- NPI assigned
- Jun 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2007014910 | MO | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 04-31630 | KS | Primary |
Addresses
Primary practice location
10500 Quivira Rd
Overland Park, KS 66215-2306
Mailing address
11600 College Blvd
Suite 201
Overland Park, KS 66210-2786
Phone (913) 310-0225
Other practice location 1
1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-4570
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207573403 | Medicaid | MO | |
| 2007014910 | Other | MO | LICENSE |
| 0431630 | Other | KS | LICENSE |
| 200365340A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241231001339 | MO | Practitioner - Pediatric Medicine | 7113914425 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-31630 | KS | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Sunflower Neonatology Associates, LLC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Midwest Division-Oprmc LLC | Past | Accepting new patients | |
| Lawrence Memorial Hospital | Past | Accepting new patients | |
| Centerpoint Medical Center of Independence, LLC | Past | Accepting new patients |
Locations
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
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.
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
- Neonatal-Perinatal Medicine Physician
- Overland Park, KS
- NPI 1285660472
Neonatal-Perinatal Medicine
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1255367603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 COLLEGE BLVD",
"address_2": "SUITE 201",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102786",
"telephone_number": "913-310-0225",
"fax_number": "913-310-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 QUIVIRA RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152306",
"telephone_number": "913-310-0225",
"fax_number": "913-310-0565"
}
],
"practiceLocations": [
{
"address_1": "1102 W 32nd St",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648043503",
"country_code": "US",
"telephone_number": "417-347-4570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLCOMB",
"first_name": "ROBERT",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MO",
"license": "2007014910",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "KS",
"license": "04-31630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207573403",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2007014910",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0431630",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200365340A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.