Individual provider Active NPI

Robert E Hollis Jr., M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1285675447
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31937 Issued in KY
Practice address
4440 Red Bank Rd Ste 110
Cincinnati, OH 45227-2177
Phone
(513) 564-1366
Fax
(513) 564-1367
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 31937 KY
Family Medicine Physician 207Q00000X 31937 KY Primary

Addresses

Primary practice location

4440 Red Bank Rd Ste 110
Cincinnati, OH 45227-2177

Mailing address

7300 Woodspoint Dr
Florence, KY 41042-1543
Phone (859) 371-5731

Other practice location 1

7300 Woodspoint Dr
Florence, KY 41042-1543
Phone (859) 371-5731

Other identifiers 3

IdentifierTypeStateIssuer
0672562MedicaidOH
080156283OtherKYRAILROAD MEDICARE
64319379MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhollis7162@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071017000186 KY Practitioner - Family Practice 1557457959 Reassigns benefits to 1 organization
I20170220002559 OH Practitioner - Family Practice 1557457959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Health Network Urgent Care, LLCGroup PAC ID 9931388246, 16 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite F
Ft Wright, KY 41011-2882
Phone (859) 292-9176

6560 Harrison Ave
Cincinnati, OH 45247-7823
Phone (513) 574-9700

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
77.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31937KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Health Network Urgent Care, LLC Family Medicine CurrentSince Aug 6, 2018 Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine PastSince Aug 6, 2018 Accepting new patients

Locations

1955 Dixie Hwy
Ste F
Ft Wright, KY 41011
Phone (859) 292-9176

4440 Red Bank Rd
Ste 110
Cincinnati, OH 45227
Phone (513) 564-1366

6560 Harrison Ave
Cincinnati, OH 45247
Phone (513) 564-1366

Organizations & group practices 3

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 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1285675447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 WOODSPOINT DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421543",
            "telephone_number": "859-371-5731",
            "fax_number": "610-612-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 RED BANK RD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272177",
            "telephone_number": "513-564-1366",
            "fax_number": "513-564-1367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Woodspoint Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421543",
            "country_code": "US",
            "telephone_number": "859-371-5731",
            "fax_number": "610-612-3110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "31937",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "31937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672562",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080156283",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64319379",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhollis7162@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 Red Bank Rd Ste 110",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452272177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.