Individual provider Active NPI

Robert James Litwin, MD

  • Vascular & Interventional Radiology Physician
  • Casper, WY
National Provider Identifier
1477082592
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
16039A Issued in WY
Practice address
419 S Washington St Ste 101
Casper, WY 82601-2951
Phone
(307) 265-1620
Fax
(307) 237-1074
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X CP548 NE
Diagnostic Radiology Physician 2085R0202X CDR.0003594 CO
Diagnostic Radiology Physician 2085R0202X 16039A WY
Vascular & Interventional Radiology Physician 2085R0204X 16039A WY Primary

Addresses

Primary practice location

419 S Washington St Ste 101
Casper, WY 82601-2951

Mailing address

419 S Washington St Ste 101
Casper, WY 82601-2991
Phone (307) 265-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230905002502 WY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5395010581 Reassigns benefits to 3 organizations
I20240601000511 NE Practitioner - Diagnostic Radiology 5395010581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Texas Medical School at Houston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Medical Imaging PCGroup PAC ID 8224010871, 25 clinicians
Outpatient Radiology LLCGroup PAC ID 8628051596, 13 clinicians

Practice addresses (Care Compare)

419 S Washington St
Suite 101
Casper, WY 82601-2951
Phone (307) 265-1620

820 W 42ND St
Suite 1500
Scottsbluff, NE 69361-5017
Phone (307) 265-1620

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Cody Regional Health Hospital, Cody, WY, CCN 531312
  • Wray Community District Hospital Hospital, Wray, CO, CCN 061309
  • Sagewest Health Care Hospital, Riverton, WY, CCN 530008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0003594COMDDiagnostic Radiology Physician
CP548NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District, CurrentSince Jan 1, 2025 Accepting new patients
Campbell County Hospital District Family Medicine Current Accepting new patients
Casper Medical Imaging, P.C. Diagnostic Radiology CurrentSince Aug 4, 2023 Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2025 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Outpatient Radiology LLC Diagnostic Radiology CurrentSince Aug 4, 2023 Accepting new patients

Locations

820 W 42nd St
Ste 150
Scottsbluff, NE 69361

820 W 42nd St
Ste 1500
Scottsbluff, NE 69361

1207 E 2nd St
Casper, WY 82601

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

6600 E 2nd St
Ste E
Casper, WY 82609
Phone (307) 232-5012

419 S Washington St
Ste 101
Casper, WY 82601
Phone (307) 232-5037

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 6

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 8

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1477082592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012991",
            "telephone_number": "307-265-1620",
            "fax_number": "307-237-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "307-265-1620",
            "fax_number": "307-237-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWIN",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "CP548",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "CDR.0003594",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "16039A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WY",
            "license": "16039A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.