Active NPI
Robert Dave Enriquez Buot, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Bedford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209032736
- Practice address
- 1609 Hospital Pkwy
Bedford, TX 76022-6920 - Phone
- (817) 359-9000
- Fax
- (817) 354-8969
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209032736 | IL | Primary |
Addresses
Primary practice location
1609 Hospital Pkwy
Bedford, TX 76022-6920
Mailing address
1520 W Harrison St
Chicago, IL 60607-3106
Other practice location 1
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 226-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 397216801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904
Hospital & facility affiliations
- Rush University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209032736 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
610 S Maple Ave
Ste 2100
Oak Park, IL 60304
Phone (708) 660-2240
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1447711759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 HOSPITAL PKWY",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226920",
"telephone_number": "817-359-9000",
"fax_number": "817-354-8969"
}
],
"practiceLocations": [
{
"address_1": "1520 W Harrison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606073106",
"country_code": "US",
"telephone_number": "312-226-2371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUOT",
"first_name": "ROBERT DAVE",
"middle_name": "ENRIQUEZ",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209032736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "397216801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.