Active NPI
Robert Droder, M.D.
- Hematology & Oncology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- K0723
- Practice address
- 721 Clinic Dr
Ste a
Tyler, TX 75701-2043 - Phone
- (903) 592-6152
- Fax
- (903) 526-0629
- NPI assigned
- Jun 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | K0723 | TX | Primary |
Addresses
Primary practice location
721 Clinic Dr
Ste a
Tyler, TX 75701-2043
Mailing address
PO Box 731912
Dallas, TX 75373-1912
Phone (903) 877-7635
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1062911-01 | Medicaid | TX | |
| 89M833 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Hahnemann University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 S Beckham Ave
Ut Health Science Center at Tyler
Tyler, TX 75701-1908
Phone (903) 877-7200
102 W Henderson St
Ut Health Northeast Overton
Overton, TX 75684-1613
Phone (903) 834-0201
11937 US Hwy 271
Tyler, TX 75708-3154
Phone (903) 877-7200
Hospital & facility affiliations
- University of Texas Health Science Center at Tyler
- Ut Health East Texas Tyler Regional Hospital
- Ut Health East Texas Athens Hospital
- Christus Mother Frances Hospital
- Ut Health East Texas Henderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at Tyler-Facility-Physician | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current | Accepting new patients |
Locations
115 Medical Cir
Ste 106
Athens, TX 75751
Phone (903) 284-5024
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
721 Clinic Dr
#A
Tyler, TX 75701
Phone (903) 592-6152
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
Interoperability endpoints
- rdroder355690@ahs.direct-ci.com
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 and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
-
- Rural Health Clinic/Center
- Overton, TX
- NPI 1689496812
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, TX
- NPI 1417465824
-
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1417941295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1275538985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731912",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731912",
"telephone_number": "903-877-7635",
"fax_number": "903-877-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 CLINIC DR",
"address_2": "STE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757012043",
"telephone_number": "903-592-6152",
"fax_number": "903-526-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRODER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "K0723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1062911-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89M833",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.