Robert John Knowling, M.D.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Huntsville, AL
NPI 1528022753 · NPPES record last updated Aug 23, 2012
Key facts
- NPI
- 1528022753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 00014300 (AL)
- Practice address
- 4011 Balmoral Dr SW
Huntsville, AL 35801-6403 - Phone
- (256) 881-4212
- Fax
- (256) 881-4246
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Alabama School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4011 Balmoral Dr
Huntsville, AL 35801-6403
Phone (256) 881-2220
Hospital & facility affiliations
- Huntsville Hospital
- Crestwood Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 57 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130624000166 | AL | Practitioner - Plastic and Reconstructive Surgery | 2062663842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00014300 | AL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breast Oncology Specialists LLC | Current |
Accepting new patients | |
| Robert J Knowling MD PC | Plastic and Reconstructive Surgery | Current |
Accepting new patients |
Locations
4011 Balmoral Dr SW
Huntsville, AL 35801
Phone (256) 881-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 00014300 | AL | Yes |
Addresses
Primary practice location
4011 Balmoral Dr SW
Huntsville, AL 35801-6403
Mailing address
4011 Balmoral Dr SW
Huntsville, AL 35801-6403
Phone (256) 881-4212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051027322 | Other | AL | BLUE CROSS BLUE SHIELD |
| 000027322 | Medicaid | AL |
Other providers in Huntsville, AL
- Anneliese Marie-Devyldere Knop
- Shelbee Knopf
- Andrew W Knott
- Olivia Lee Knott
- Emily Knowd
- Bailee Kochevar
- Jessica Koelker-Davis
- Tonya Koenigstein
- Gina Koger
- Olivia Koger
All providers in Huntsville, AL · Plastic and Reconstructive Surgery Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.