Individual provider Active NPI

Robert Arthur Egan, MD

  • Neurology Physician
  • Medford, OR
National Provider Identifier
1396771358
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD18942 Issued in OR
Practice address
920 Royal Ave
Medford, OR 97504-6169
Phone
(541) 732-8400
NPI assigned
Jun 23, 2006
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X MD18942 OR
Neurology Physician 2084N0400X MD60766327 WA
Neurology Physician 2084N0400X G88201 CA
Neurology Physician 2084N0400X MD18942 OR Primary
Vascular Neurology Physician 2084V0102X MD18942 OR

Addresses

Primary practice location

920 Royal Ave
Medford, OR 97504-6169

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (541) 732-8400

Other identifiers 2

IdentifierTypeStateIssuer
G88201OtherCASTATE MEDICAL LICENSE
150384MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address regan308649@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090203000705 CA Practitioner - Neurology 9436184751 Reassigns benefits to 3 organizations
I20171002002120 WA Practitioner - Neurology 9436184751 Reassigns benefits to 1 organization
I20240521000803 MT Practitioner - Neurology 9436184751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Wisconsin, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

4601 Dale Rd
Modesto, CA 95356-9718
Phone (209) 735-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G88201CAMDNeurology Physician
MD60766327WAMDNeurology Physician
MD18942ORMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2021 Accepting new patients
Permanente Medical Group Inc Ophthalmology Current Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Apr 8, 2024 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Billings Clinic CurrentSince Apr 8, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Aug 18, 2025 Accepting new patients
Permanente Medical Group Inc Ophthalmology CurrentSince Aug 18, 2025 Accepting new patients
Eye Care Center of Napa Valley, a Medical Corporation Ophthalmology CurrentSince Aug 25, 2013 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2021 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Eye Care Center of Napa Valley a Medical Corporation Ophthalmology CurrentSince Aug 25, 2013 Accepting new patients

Locations (25 of 38)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

4601 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

895 Trancas St
Napa, CA 94558
Phone (707) 252-0990

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

1100 Van Ness Ave
San Francisco, CA 94109
Phone (415) 600-5760

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

Interoperability endpoints

  • Direct secure messaging: regan243899@hisp.ehr.sutterhealth.org
  • Direct secure messaging: regan308649@oc.providencedirect.org
  • Direct secure messaging: regan56840@alamedahs.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1396771358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "541-732-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046169",
            "telephone_number": "541-732-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "ROBERT",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "OR",
            "license": "MD18942",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60766327",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G88201",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD18942",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "OR",
            "license": "MD18942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G88201",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150384",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "regan308649@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "920 Royal Ave",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975046169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.