Individual provider Active NPI

Robert Lee Jones, MD

  • Surgery Physician
  • Olean, NY
National Provider Identifier
1336677111
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
322192-01 Issued in NY
Practice address
515 Main St
Olean, NY 14760-1598
Phone
(716) 373-2600
NPI assigned
May 24, 2017
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 322192-01 NY Primary

Addresses

Primary practice location

515 Main St
Olean, NY 14760-1598

Mailing address

515 Main St
Olean, NY 14760-1598
Phone (716) 373-2600

Other practice location 1

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 368-4143

Other identifiers 2

IdentifierTypeStateIssuer
322192-01OtherNYSTATE LICENSE
MD481014OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20231031000237 PA Practitioner - General Surgery 7012280902 Reassigns benefits to 1 organization
I20231110000340 NY Practitioner - General Surgery 7012280902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 362-8277

500 Main St
Olean, NY 14760-1514
Phone (716) 701-1541

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322192-01NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Multi-Specialty CurrentSince Sep 16, 2023 Accepting new patients
Olean General Hospital Multi-Specialty CurrentSince Sep 16, 2023 Accepting new patients
Olean General Hospital Multi-Specialty Past Accepting new patients

Locations

500 Main St
Olean, NY 14760
Phone (716) 373-2600

515 Main St
Olean, NY 14760
Phone (716) 373-2600

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

Interoperability endpoints

  • Direct secure messaging: robertjones@healthsystemphysicianpc.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1336677111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601598",
            "telephone_number": "716-373-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601598",
            "telephone_number": "716-373-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011036",
            "country_code": "US",
            "telephone_number": "814-368-4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "322192-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "322192-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD481014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.