Active NPI
Robert Edward Todd, M.D.
- Neurology Physician
- Liverpool, NY
National Provider Identifier
1518976786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 198747-1
- Practice address
- 8100 Oswego Rd
Suite 210
Liverpool, NY 13090-1662 - Phone
- (315) 426-0200
- Fax
- (315) 426-0283
- NPI assigned
- Aug 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 198747-1 | NY | Primary |
Addresses
Primary practice location
8100 Oswego Rd
Suite 210
Liverpool, NY 13090-1662
Mailing address
8100 Oswego Rd
Suite 210
Liverpool, NY 13090-1662
Phone (315) 426-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01654806 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198747-1 | NY | MD | Neurology Physician |
Interoperability endpoints
- rtodd@todd.mdlogic.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1518976786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 OSWEGO RD",
"address_2": "SUITE 210",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901662",
"telephone_number": "315-426-0200",
"fax_number": "315-426-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 OSWEGO RD",
"address_2": "SUITE 210",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901662",
"telephone_number": "315-426-0200",
"fax_number": "315-426-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-06",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "198747-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01654806",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.