Individual provider Active NPI

Robert Prophete, M.D.

  • Urology Physician
  • Saint Louis, MO
National Provider Identifier
1376547802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R8871 Issued in 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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R8871 MO Primary
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 1

  • Yves Robert Prophete Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040916000101 IL Practitioner - Urology 1456264027

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036079662ILMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: robert.prophete.1@9559.direct.athenahealth.com

Hospital & facility affiliations 3

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376547802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15278 COUNTRY FIELD CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 WATSON RD",
            "address_2": "SOUTHWEST MEDICAL CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194405",
            "telephone_number": "314-752-7100",
            "fax_number": "314-752-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPHETE",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "R8871",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVES",
            "last_name": "PROPHETE",
            "middle_name": "ROBERT",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.