Individual provider Active NPI

Robert W Inzer, M.D.

  • Obstetrics & Gynecology Physician
  • Pearl, MS
National Provider Identifier
1497780118
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F4110 Issued in TX
Practice address
817 Longwood PL
Pearl, MS 39208-9062
Phone
(214) 802-1041
Fax
(601) 299-5364
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F4110 TX Primary

Addresses

Primary practice location

817 Longwood PL
Pearl, MS 39208-9062

Mailing address

817 Longwood PL
Pearl, MS 39208-9062
Phone (214) 802-1041

Other identifiers 1

IdentifierTypeStateIssuer
032321402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS2 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
I20070509000343 TX Practitioner - Obstetrics/Gynecology 9638275571 Reassigns benefits to 1 organization
I20210726003404 MS Practitioner - Obstetrics/Gynecology 9638275571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Apr 1, 2017 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince May 17, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince May 17, 2021 Accepting new patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Aug 21, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
OB Hospitalists of Texas, P.a. Obstetrics & Gynecology CurrentSince Nov 30, 2015 Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology CurrentSince Apr 1, 2017 Accepting new patients
University Physicians, PLLC Past Accepting new patients
State of Mississippi-University of Mississippi Medical Center Past Accepting new patients

Locations

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

960 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-6450

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Ste 4300
Jackson, MS 39216

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

4224 Swiss Ave
Dallas, TX 75204
Phone (214) 821-9938

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3500 Gaston Ave
Dallas, TX 75246

6125 Luther Ln
Dallas, TX 75225
Phone (214) 612-6518

3600 Gaston Ave
Ste 909
Dallas, TX 75246
Phone (214) 824-3039

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3600 Gaston Ave
Ste 300
Dallas, TX 75246
Phone (214) 824-3200

Interoperability endpoints

  • Direct secure messaging: rinzer167617@ummc.direct-ci.com

Organizations & group practices 9

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1497780118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 LONGWOOD PL",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089062",
            "telephone_number": "214-802-1041",
            "fax_number": "601-299-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 LONGWOOD PL",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089062",
            "telephone_number": "214-802-1041",
            "fax_number": "601-299-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F4110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032321402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

Verify at the official NPI Registry.