Robert Prophete, M.D.
Individual provider Active NPI Urology Physician · Saint Louis, MO
NPI 1376547802 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376547802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- R8871 (MO)
- Practice address
- 7345 Watson Rd
Southwest Medical Center
Saint Louis, MO 63119-4405 - Phone
- (314) 752-7100
- Fax
- (314) 752-3284
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Saint Louis University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1836 Lackland Hill Pkwy
St Louis, MO 63146-3572
PO Box
Suite 185
East Saint Louis, IL 62202-0185
Hospital & facility affiliations
- Touchette Regional Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040916000101 | IL | Practitioner - Urology | 1456264027 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036079662 | IL | MD | Urology Physician |
| R8871 | MO | MD | Urology Physician |
Interoperability endpoints
- robert.prophete.1@9559.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | R8871 | MO | Yes |
| Urology Physician | 208800000X | IL |
Addresses
Primary practice location
7345 Watson Rd
Southwest Medical Center
Saint Louis, MO 63119-4405
Mailing address
15278 Country Field CT
Chesterfield, MO 63017-7402
Other names
- Yves Robert Prophete
Other providers in Saint Louis, MO
- Promise Mobility LLC
- Promised Land Therapy LLC
- Promising Home Health Care LLC
- Prompt Aid Inc
- Proper Care Home Health LLC
- Brooks Joshua Propst
- Katharine Propst
- Prorehab PC
- Prorehab PC
- Prorehab PC
All providers in Saint Louis, MO · Urology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.