Active NPI
Robert Bart Powers, D.O.
- Anesthesiology Physician
- Elkhart, IN
National Provider Identifier
1528065190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 02003067A
- Practice address
- 500 N Nappanee St
Suite 11B
Elkhart, IN 46514-1503 - Phone
- (574) 522-9922
- Fax
- (574) 522-9926
- NPI assigned
- Jun 28, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 02003067A | IN | Primary |
Addresses
Primary practice location
500 N Nappanee St
Suite 11B
Elkhart, IN 46514-1503
Mailing address
PO Box 3055
Indianapolis, IN 46206-3055
Phone (317) 567-2180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200818130 | Medicaid | IN | |
| 000000478049 | Other | IN | ANTHEM BCBS |
Other names 1
- Bart Powers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003067A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Past | Accepting new patients | |
| Great Lakes Anesthesia Indiana and Michigan, PLLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Sturgis, MI
- NPI 1891069605
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1528065190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3055",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063055",
"telephone_number": "317-567-2180",
"fax_number": "317-567-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N NAPPANEE ST",
"address_2": "SUITE 11B",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141503",
"telephone_number": "574-522-9922",
"fax_number": "574-522-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "ROBERT",
"middle_name": "BART",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "02003067A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200818130",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000478049",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BART",
"last_name": "POWERS",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.