Individual provider Active NPI

Robert Glenn Little, MD

  • Family Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1316943087
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD010182E Issued in PA
Practice address
775 S Arlington Ave
Harrisburg, PA 17109-5002
Phone
(717) 782-5905
Fax
(717) 782-5908
NPI assigned
Jun 27, 2005
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD010182E PA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD010182E PA

Addresses

Primary practice location

775 S Arlington Ave
Harrisburg, PA 17109-5002

Mailing address

409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Phone (717) 782-5905

Other identifiers 1

IdentifierTypeStateIssuer
0626467MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlittle5870@phsdirect.pinnaclehealth.org

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Family Medicine CurrentSince Feb 1, 2008 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 1, 2008 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Hamilton Health Center, Inc PastSince Jan 1, 2012 Accepting new patients

Locations

1205 S 28th St
Harrisburg, PA 17111
Phone (717) 558-1000

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

775 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 541-9240

805 Sir Thomas Ct
Ste 2
Harrisburg, PA 17109
Phone (717) 657-3030

2310 Patton Rd
Lower Paxton, PA 17112
Phone (717) 724-6500

Interoperability endpoints

  • Direct secure messaging: rlittle5870@phsdirect.pinnaclehealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1316943087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-782-5905",
            "fax_number": "717-782-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095002",
            "telephone_number": "717-782-5905",
            "fax_number": "717-782-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "ROBERT",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD010182E",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD010182E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626467",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlittle5870@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "775 S Arlington Ave",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.