NPIMap

Individual provider Active NPI

Robert E. Bulow, DO

  • Clinical Cardiac Electrophysiology Physician
  • Centerville, OH
National Provider Identifier
1477552271
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
34006383 Issued in OH
Practice address
2350 Miami Valley Dr Ste 310
Centerville, OH 45459-4778
Phone
(937) 438-5216
Fax
(937) 438-5229
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34006383 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 34.006383 OH
Interventional Cardiology Physician 207RI0011X 34006383 OH
Nuclear Cardiology Physician 207UN0901X 34006383 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 34006383 OH Primary

Addresses

Primary practice location

2350 Miami Valley Dr Ste 310
Centerville, OH 45459-4778

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

4160 Little York Rd
Ste. 20
Dayton, OH 45414-5800
Phone (937) 454-9527

Other identifiers 3

IdentifierTypeStateIssuer
000000009508OtherOHANTHEM
P00922092OtherOHRAILROAD MEDICARE PIN
0234517MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL rbulow3295@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040407000583 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6608869334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Chicago College of Osteopathy, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1530 Needmore Rd
Suite 300
Dayton, OH 45414-3980
Phone (937) 277-4274

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006383OHMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Oct 31, 2019 Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease CurrentSince Oct 31, 2019 Accepting new patients
Cardiology Specialists of Dayton Inc. Cardiovascular Disease Current Accepting new patients
Premier Heart Associates, Inc Cardiovascular Disease Past Accepting new patients
Cardiology Specialists of Dayton Inc Cardiovascular Disease PastSince Oct 1, 2004 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4160 Little York Rd
Ste 20
Dayton, OH 45414
Phone (937) 454-9327

425 W Grand Ave
Ste 2002
Dayton, OH 45405
Phone (937) 294-3611

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

1530 Needmore Rd
Ste 300
Dayton, OH 45414
Phone (937) 208-6745

2350 Miami Valley Dr
Ste 310
Dayton, OH 45459
Phone (937) 435-4263

9000 N Main St
Ste 101
Englewood, OH 45415

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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 5

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1477552271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MIAMI VALLEY DR STE 310",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594778",
            "telephone_number": "937-438-5216",
            "fax_number": "937-438-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Little York Rd",
            "address_2": "Ste. 20",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454145800",
            "country_code": "US",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULOW",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34006383",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "34.006383",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "34006383",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OH",
            "license": "34006383",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "34006383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000009508",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00922092",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234517",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "rbulow3295@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "2350 Miami Valley Dr Ste 310",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.