NPIMap

Individual provider Active NPI

Robert E McClure, MD

  • Family Medicine Physician
  • Caneyville, KY
National Provider Identifier
1447253786
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19396 Issued in KY
Practice address
301 Sunset Dr
Caneyville, KY 42721
Phone
(270) 879-3711
NPI assigned
May 31, 2005
Last updated
May 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19396 KY Primary

Addresses

Primary practice location

301 Sunset Dr
Caneyville, KY 42721

Mailing address

908 Wallace Ave
Leitchfield, KY 42754-1479
Phone (270) 879-3711

Other identifiers 5

IdentifierTypeStateIssuer
000000363734OtherKYBLUE CROSS
1049901OtherKYPASSPORT
000000222005OtherKYANTHEM
64193964MedicaidKY
2432708000OtherKYPASSPORT ADVANTAGE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000265 KY Practitioner - Family Practice 0648207928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1975
Medicare assignment
May accept Medicare assignment
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729

301 Sunset Dr
Caneyville, KY 42721-9172
Phone (270) 879-3711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19396KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Twin Lakes Regional Medical Center, Inc CurrentSince Jan 22, 2025 Accepting new patients
Grayson County Hospital Foundation Inc Past Accepting new patients
Maclimore Clinic LLC Family Medicine PastSince Jan 23, 2019 Accepting new patients

Locations

25516 Network Pl
Chicago, IL 60673

301 Sunset Dr
Caneyville, KY 42721
Phone (270) 879-3711

Interoperability endpoints

  • Direct secure messaging: rmcclure43372@direct.owensborohealth.org

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.

Hospital & facility affiliations 4

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1447253786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541479",
            "telephone_number": "270-879-3711",
            "fax_number": "270-879-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SUNSET DR",
            "city": "CANEYVILLE",
            "state": "KY",
            "postal_code": "42721",
            "telephone_number": "270-879-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "19396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000363734",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1049901",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000222005",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64193964",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2432708000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caneyville, KY

Sources for this page

Verify at the official NPI Registry.