NPIMap

Individual provider Active NPI

Robert S Hawkins, DO

  • Family Medicine Physician
  • St Johnsbury, VT
National Provider Identifier
1326088980
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
032.0085469 Issued in VT
Practice address
25 Depot SQ
St Johnsbury, VT 05819-2659
Phone
(802) 327-7079
Fax
(028) 661-3948
NPI assigned
Jun 8, 2006
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X T0539 ME
Family Medicine Physician 207Q00000X 1954 ME
Family Medicine Physician 207Q00000X 032.0085469 VT Primary

Addresses

Primary practice location

25 Depot SQ
St Johnsbury, VT 05819-2659

Mailing address

401 E Main St
Newport, VT 05855-5890
Phone (802) 327-7079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120621000368 VT Practitioner - Family Practice 5294739942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Country Hospital and Health Center IncGroup PAC ID 9739073479, shared by 8 NPIs, 50 clinicians

Practice addresses (Care Compare)

488 Elm St
Barton, VT 05822-8637
Phone (802) 525-3539

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0539MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Spruce Health PLLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
Eastern Maine Medical Center Past Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients

Locations

186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

401 E Main St
Newport, VT 05855
Phone (802) 327-7079

25 Depot Sq
St Johnsbury, VT 05819
Phone (802) 327-7079

Interoperability endpoints

  • Direct secure messaging: robert.hawkins@337359566012420.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1326088980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058555890",
            "telephone_number": "802-327-7079",
            "fax_number": "802-866-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DEPOT SQ",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192659",
            "telephone_number": "802-327-7079",
            "fax_number": "028-661-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "T0539",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "032.0085469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.