Active NPI
Plymouth Bay Internal Medicine
- Internal Medicine Physician
- Plymouth, MA
National Provider Identifier
1487783536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 155581
- Legal business name
- PLYMOUTH BAY INTERNAL MEDICINE
- Practice address
- 45 Resnik Rd
Suite 302
Plymouth, MA 02360-4844 - Phone
- (508) 746-2696
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Robke
- Title
- President
- Phone
- (508) 746-2696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 155581 | MA | Primary |
Addresses
Primary practice location
45 Resnik Rd
Suite 302
Plymouth, MA 02360-4844
Mailing address
45 Resnik Rd
Suite 302
Plymouth, MA 02360-4844
Phone (508) 746-2696
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401728 | Other | TUFTS | |
| 694202 | Other | HARVARD PILGRIM | |
| 3195104 | Medicaid | MA | |
| J21238 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041124000257 | MA | Part B Supplier - Clinic/Group Practice | 8224093760 |
Receives reassigned benefits from 3 practitioners Practice locations: Plymouth, MA; Sandwich, MA |
National Provider Directory
National Provider DirectoryLocations
45 Resnik Rd
Ste 302
Plymouth, MA 02360
Phone (508) 746-2696
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHJBBA
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Plymouth, MA
- NPI 1003843202
Internal Medicine, MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487783536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESNIK RD",
"address_2": "SUITE 302",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604844",
"telephone_number": "508-746-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RESNIK RD",
"address_2": "SUITE 302",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604844",
"telephone_number": "508-746-2696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLYMOUTH BAY INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBKE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-746-2696",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "155581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "401728",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "694202",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3195104",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J21238",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
- Pinnacle Rehabilitation Network LLC
- Jennifer Pinto, MA
- Laura A. Pisapia, LMFT
- Planet Rheumatology,PC
- Laurie Lee Plante, MASTER'S OF ED.
- Plymouth Bay Orthopedic Associates Non Bidco LLC
- Plymouth Bay Orthopedic Associates, Inc.
- Plymouth Bay Urology Specialists, P.C.
- Plymouth Bridgewater Eye Care
- Plymouth Carver Primary Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.