NPIMap

Individual provider Active NPI

Robert T Woodburn III, MD

  • Radiation Oncology Physician
  • Merrillville, IN
National Provider Identifier
1407848849
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01052621A Issued in IN
Practice address
8702 Broadway
Merrillville, IN 46410-7035
Phone
(219) 738-5598
NPI assigned
Aug 22, 2005
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01052621A IN Primary

Addresses

Primary practice location

8702 Broadway
Merrillville, IN 46410-7035

Mailing address

8702 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5598

Other identifiers 5

IdentifierTypeStateIssuer
307891112MedicaidIL
000000251225OtherINANTHEM
P00051343OtherINRAIL ROAD MEDICARE
P00368101OtherILRAIL ROAD MEDICARE
200310530MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061214000151 IL Practitioner - Radiation Oncology 4284667221 Reassigns benefits to 2 organizations
I20100901000963 IN Practitioner - Radiation OncologyPractitioner - Interventional Radiology 4284667221 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Interventional Radiology
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 947-6685

4391 Venture Dr
Peru, IL 61354-1018
Phone (815) 224-5511

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 736-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Current Accepting new patients
Advanced Medical Therapy LLC Radiation Oncology CurrentSince Sep 15, 2025 Accepting new patients
Community Care Network Inc CurrentSince Jan 22, 2024 Accepting new patients
The Methodist Hospitals, Inc Radiation Oncology CurrentSince Oct 3, 2024 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Oct 3, 2024 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Munster Radiology Group PC Past Accepting new patients
Indiana Breast Center Past Accepting new patients
Ludag LLC Dba Cancer Treatment Group Radiation Oncology Past Accepting new patients
Valley Oncology Centers PC Radiation Oncology Past Accepting new patients
Ludag LLC Dba Cancer Treatment Group Radiation Oncology Past Accepting new patients
The Methodist Hospitals, Inc Past Accepting new patients
Ludag LLC, Dba Cancer Treatment Group Radiation Oncology Past Accepting new patients

Locations

4391 Venture Dr
Peru, IL 61354
Phone (815) 223-7010

614 S Bloomington St
Streator, IL 61364
Phone (815) 664-4141

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

Organizations & group practices 14

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 14

Hospital & facility affiliations 6

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1407848849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107035",
            "telephone_number": "219-738-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107035",
            "telephone_number": "219-738-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURN",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01052621A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307891112",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000251225",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00051343",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00368101",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200310530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.