Individual provider Active NPI

Steven B Robin, MD

  • Ophthalmology Physician
  • Plymouth, MN
National Provider Identifier
1407879158
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36694 Issued in MN
Practice address
4100 Berkshire LN N Ste 100
Plymouth, MN 55446-3836
Phone
(952) 540-0001
Fax
(952) 540-0002
NPI assigned
Jul 25, 2006
Last updated
Dec 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 36694 MN Primary

Addresses

Primary practice location

4100 Berkshire LN N Ste 100
Plymouth, MN 55446-3836

Mailing address

4100 Berkshire LN N Ste 100
Plymouth, MN 55446-3836
Phone (952) 540-0001

Other identifiers 7

IdentifierTypeStateIssuer
0801449OtherMNMEDICA
473063100MedicaidMN
453G8ROOtherMNBLUE SHIELD BLUE PLUS
HP14258OtherMNHEALTHPARTNERS
0801449OtherMNSELECTCARE
105708OtherMNUCARE MN
A653510000143OtherMNPREFERRED ONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20051230000289 MN Practitioner - Ophthalmology 3274555982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 Berkshire LN N
Suite 100
Plymouth, MN 55446-3836
Phone (952) 540-0001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Eye Care LLC Ophthalmology CurrentSince Sep 9, 2005 Accepting new patients
The Total Vision Institute LLC Past Accepting new patients
Opti-Min PA Ophthalmology PastSince Nov 1, 2016 Accepting new patients

Locations

4100 Berkshire Ln N
Ste 100
Plymouth, MN 55446
Phone (952) 540-0001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1407879158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BERKSHIRE LN N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463836",
            "telephone_number": "952-540-0001",
            "fax_number": "952-540-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BERKSHIRE LN N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463836",
            "telephone_number": "952-540-0001",
            "fax_number": "952-540-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIN",
        "first_name": "STEVEN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "36694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0801449",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473063100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD BLUE PLUS",
            "identifier": "453G8RO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP14258",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "0801449",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "105708",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "A653510000143",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.