Organization Active NPI

Robert V Sibilia MD Inc

  • Clinical Medical Laboratory
  • Wooster, OH
National Provider Identifier
1437359171
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ROBERT V SIBILIA MD INC
Practice address
324 E Milltown Rd
Suite a
Wooster, OH 44691-2269
Phone
(330) 345-2459
Fax
(330) 345-3756
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Robert V SibiliaNPI 1487620910
Title
President
Phone
(330) 345-2459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

324 E Milltown Rd
Suite a
Wooster, OH 44691-2269

Mailing address

324 E Milltown Rd
Suite a
Wooster, OH 44691-2269
Phone (330) 345-2459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071217000414 OH Part B Supplier - Clinic/Group Practice 3577663061 Receives reassigned benefits from 2 practitioners
Practice locations: Wooster, OH
O20210511003094 OH DME Supplier - Physician - Internal Medicine 3577663061 Practice locations: Wooster, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2147681Robert V Sibilia, MD324 E Milltown Rd, Ste a, Wooster, OH 44691Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

1197 Glen Dr
Unit E
Millersburg, OH 44654
Phone (330) 345-2459

128 E Milltown Rd
Ste 206
Wooster, OH 44691
Phone (330) 263-7372

324 E Milltown Rd
Ste A
Wooster, OH 44691
Phone (330) 345-2459

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1437359171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E MILLTOWN RD",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912269",
            "telephone_number": "330-345-2459",
            "fax_number": "330-345-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E MILLTOWN RD",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912269",
            "telephone_number": "330-345-2459",
            "fax_number": "330-345-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT V SIBILIA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "SIBILIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-345-2459",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.