NPIMap

Individual provider Active NPI

Robert T Stroup Jr., MD

  • Plastic Surgery Physician
  • Novelty, OH
National Provider Identifier
1568464964
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35-05-9617-S Issued in OH
Practice address
13660 Braeburn Lane
Novelty, OH 44072-9597
Phone
(216) 219-5555
NPI assigned
Aug 15, 2005
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35-05-9617-S OH Primary

Addresses

Primary practice location

13660 Braeburn Lane
Novelty, OH 44072-9597

Mailing address

13660 Braeburn Lane
Novelty, OH 44072-9597
Phone (216) 219-5555

Other practice location 1

1611 S Green Rd
238
South Euclid, OH 44121-4128
Phone (216) 691-4000

Other identifiers 3

IdentifierTypeStateIssuer
0879081MedicaidOH
35.059617OtherOHOHIO MEDICAL LICENSURE
0801412MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000611 OH Practitioner - Plastic and Reconstructive Surgery 0840451936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13660 Braeburn LN
Novelty, OH 44072-9597
Phone (216) 219-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue323
Removal of skin lesions1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: robertstroup@robertstroup.direct.emds.com
  • Direct secure messaging: rstroup219932@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1568464964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 BRAEBURN LANE",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440729597",
            "telephone_number": "216-219-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 BRAEBURN LANE",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440729597",
            "telephone_number": "216-219-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 S Green Rd",
            "address_2": "238",
            "address_purpose": "LOCATION",
            "city": "South Euclid",
            "state": "OH",
            "postal_code": "441214128",
            "country_code": "US",
            "telephone_number": "216-691-4000",
            "fax_number": "216-691-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUP",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-05-9617-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879081",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL LICENSURE",
            "identifier": "35.059617",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801412",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novelty, OH

Sources for this page

Verify at the official NPI Registry.