Individual provider Active NPI

Keith I. Robins, M.D.

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1366702052
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C-3190 Issued in TX
Practice address
11912 Jamestown Rd
Dallas, TX 75230-2640
Phone
(972) 404-0534
Fax
(972) 404-0522
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C-3190 TX Primary

Addresses

Primary practice location

11912 Jamestown Rd
Dallas, TX 75230-2640

Mailing address

11912 Jamestown Rd
Dallas, TX 75230-2640
Phone (972) 404-0534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151123002792 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9335449321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-3190TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1366702052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 JAMESTOWN RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302640",
            "telephone_number": "972-404-0534",
            "fax_number": "972-404-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 JAMESTOWN RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302640",
            "telephone_number": "972-404-0534",
            "fax_number": "972-404-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "KEITH",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "C-3190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.