Individual provider Active NPI

Robert Skversky, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1467546481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G21450 Issued in CA
Practice address
320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716
Phone
(949) 645-2930
Fax
(949) 645-1059
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 G21450 CA Primary

Addresses

Primary practice location

320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716

Mailing address

320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716
Phone (949) 645-2930

Other names 1

  • Robert Skversky Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G21450CAMDFamily Medicine Physician
21450CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Skversky, M.D., Inc. Family Medicine Past Accepting new patients
Dr. Kabir Ahmed, Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467546481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-645-2930",
            "fax_number": "949-645-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-645-2930",
            "fax_number": "949-645-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKVERSKY",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G21450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "SKVERSKY",
            "credential": "M.D., INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.