Individual provider Active NPI

Paul D Robison, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cape Girardeau, MO
National Provider Identifier
1427010735
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
107577 Issued in MO
Practice address
371 S Broadview St
Cape Girardeau, MO 63703-5761
Phone
(573) 331-6710
Fax
(573) 334-1713
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 107577 MO Primary

Addresses

Primary practice location

371 S Broadview St
Cape Girardeau, MO 63703-5761

Mailing address

371 S Broadview St
Cape Girardeau, MO 63703-5761
Phone (573) 331-6710

Other identifiers 5

IdentifierTypeStateIssuer
14046OtherBCBS
780002185OtherRAILROAD MEDICARE
207947912MedicaidMO
100134600AMedicaidOK
172973001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, NV3 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
I20140124001181 MO Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 1355419763 Reassigns benefits to 1 organization
I20231204002736 OK Practitioner - Thoracic Surgery 1355419763 Reassigns benefits to 1 organization
I20250224002295 NV Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1355419763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Marys Medical Group IncGroup PAC ID 7618113523, 52 clinicians

Practice addresses (Care Compare)

645 N Arlington
Suite 120
Reno, NV 89503-4441
Phone (775) 770-7410

Hospital & facility affiliations

  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Hospital Current Accepting new patients
Southeast Missouri Hospital Physicians, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 12, 2013 Accepting new patients
Ahs Oklahoma Heart LLC CurrentSince Oct 21, 2023 Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Saint Mary'S Medical Group Inc CurrentSince Feb 3, 2025 Accepting new patients
Saint Marys Medical Group Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 3, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Fort Smith Hma Physician Management, LLC Past Accepting new patients
Integris Cardiovascular Physicians LLC Past Accepting new patients
Bonaventure Medical Foundation, LLC PastSince Apr 1, 2009 Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

371 S Broadview St
Cape Girardeau, MO 63703
Phone (573) 331-6710

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

645 N Arlington Ave
Ste 120
Reno, NV 89503
Phone (775) 770-3908

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

645 N Arlington Ave
Ste 555
Reno, NV 89503
Phone (775) 770-7348

1265 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 855-2570

9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820

Dept 1218
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: probison881540@ahs.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1427010735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035761",
            "telephone_number": "573-331-6710",
            "fax_number": "573-334-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035761",
            "telephone_number": "573-331-6710",
            "fax_number": "573-334-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "107577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "780002185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207947912",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100134600A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172973001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.