Active NPI
Robert Ian Myers, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1295833721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G9170
- Practice address
- 5001 Ross Ave # 120
Dallas, TX 75206-7706 - Phone
- (972) 525-9900
- Fax
- (469) 333-7988
- NPI assigned
- Sep 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G9170 | TX | Primary |
Addresses
Primary practice location
5001 Ross Ave # 120
Dallas, TX 75206-7706
Mailing address
PO Box 360541 Suite 508
Pittsburgh, PA 15251-0001
Phone (972) 525-9900
Other practice location 1
3600 Gaston Ave
Suite 508
Dallas, TX 75246-1800
Phone (214) 824-4585
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125489804 | Medicaid | TX | |
| 4046711 | Other | AETNA | |
| 845114 | Other | BCBS | |
| 110040884 | Other | RR MC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.myers.1@13711.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9170 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Carman Weston & Koster a Professional Association | Internal Medicine | Current | Accepting new patients |
Locations
3600 Gaston Ave
Ste 1001
Dallas, TX 75246
Phone (214) 297-0200
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1982766754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1295833721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360541 SUITE 508",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152510001",
"telephone_number": "972-525-9900",
"fax_number": "469-333-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 ROSS AVE # 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752067706",
"telephone_number": "972-525-9900",
"fax_number": "469-333-7988"
}
],
"practiceLocations": [
{
"address_1": "3600 Gaston Ave",
"address_2": "Suite 508",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752461800",
"country_code": "US",
"telephone_number": "214-824-4585",
"fax_number": "214-370-5408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "ROBERT",
"middle_name": "IAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G9170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125489804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4046711",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "845114",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "110040884",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.myers.1@13711.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Village Medical Texas",
"address_1": "5001 Ross Ave # 120",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752067706",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.