Individual provider Active NPI

Robert Andrew Bartosh, M.D.

  • Orthopaedic Surgery Physician
  • Cordele, GA
National Provider Identifier
1487757928
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
037950 Issued in GA
Practice address
910 N 5TH St
Cordele, GA 31015-3254
Phone
(229) 276-2286
Fax
(229) 276-2289
NPI assigned
Sep 7, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 037950 GA Primary

Addresses

Primary practice location

910 N 5TH St
Cordele, GA 31015-3254

Mailing address

307 E 3Rd Ave
Cordele, GA 31015-3208
Phone (229) 271-4656

Other practice location 1

902 N 7th St
Cordele, GA 31015-3234
Phone (229) 276-3100

Other identifiers 2

IdentifierTypeStateIssuer
000578124CMedicaidGA
000578124BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070521000257 GA Practitioner - Orthopedic Surgery 8325145766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger Orthopedics, P.C. Specialist CurrentSince Jun 1, 2008 Accepting new patients
Crisp Regional Hospital, Inc CurrentSince Feb 1, 2019 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Feb 1, 2019 Accepting new patients
Colquitt Regional Orthopedics, LLC Specialist Past Accepting new patients
S R Adcock MD PC Orthopaedic Surgery Past Accepting new patients
Americus Injury and Wellness Center Past Accepting new patients

Locations

1701 E 16th Ave
Cordele, GA 31015
Phone (229) 276-2000

307 E 3rd Ave
Cordele, GA 31015
Phone (229) 271-4612

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652

3 Magnolia Ct
Moultrie, GA 31768
Phone (229) 225-1900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1487757928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 3RD AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153208",
            "telephone_number": "229-271-4656",
            "fax_number": "229-271-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N 5TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153254",
            "telephone_number": "229-276-2286",
            "fax_number": "229-276-2289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310153234",
            "country_code": "US",
            "telephone_number": "229-276-3100",
            "fax_number": "229-271-9689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTOSH",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "037950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000578124C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000578124B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.