Individual provider Active NPI

Robert A Gatlin, MD

  • Obstetrics & Gynecology Physician
  • Henderson, NV
National Provider Identifier
1508841800
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3436 Issued in NV
Practice address
1701 N Green Valley Pkwy
BLD 3 Suite B
Henderson, NV 89074-5885
Phone
(702) 737-3200
Fax
(702) 369-4727
NPI assigned
Dec 8, 2005
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 3436 NV Primary

Addresses

Primary practice location

1701 N Green Valley Pkwy
BLD 3 Suite B
Henderson, NV 89074-5885

Mailing address

1701 N Green Valley Pkwy
BLD 3 Suite B
Henderson, NV 89074-5885
Phone (702) 737-3200

Other identifiers 1

IdentifierTypeStateIssuer
002002077MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20080617000673 NV Practitioner - Obstetrics/Gynecology 0749351849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 N Green Valley Pkwy
BLD 3 Suite B
Henderson, NV 89074-5885

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3436NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a Gatlin MD PC CurrentSince Apr 21, 2008 Accepting new patients
Robert a. Gatlin, MD PC Obstetrics & Gynecology Current Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

1701 N Green Valley Pkwy
Ste 3B
Henderson, NV 89074
Phone (702) 369-4727

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DABEAA/Endpoint/DABEAA

Organizations & group practices 5

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1508841800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY",
            "address_2": "BLD 3 SUITE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745885",
            "telephone_number": "702-737-3200",
            "fax_number": "702-369-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY",
            "address_2": "BLD 3 SUITE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745885",
            "telephone_number": "702-737-3200",
            "fax_number": "702-369-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "3436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002077",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.