Active NPI
Robert A Dicken, MD
- Ophthalmology Physician
- Devils Lake, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 5595
- Practice address
- 404 Hwy 2 E
Devils Lake, ND 58301-0130 - Phone
- (701) 662-4085
- Fax
- (701) 662-6010
- NPI assigned
- Sep 29, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 5595 | ND | Primary |
Addresses
Primary practice location
404 Hwy 2 E
Devils Lake, ND 58301-0130
Mailing address
PO Box 5010
Minot, ND 58702-5010
Other practice location 1
2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568554285 | Medicaid | MN | |
| 11630 | Medicaid | ND | |
| 180043931 | Other | TRAVELERS MEDICARE | |
| 18005266 | Other | TRAVELERS MEDICARE | |
| 292T7DI | Other | BLUE SHIELD MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081125000148 | ND | Practitioner - Ophthalmology | 8022043280 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Minnesota Medical School, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 3Rd Ave SW
Minot, ND 58701-3880
Phone (701) 418-8000
2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000
2815 16TH St SW
Minot, ND 58701-6916
Phone (701) 418-8000
404 Hwy 2 E
Devils Lake, ND 58301-3932
Phone (701) 662-4085
Hospital & facility affiliations
- Trinity Hospitals
- Towner County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 60.57
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5595 | ND | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients |
Locations
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
404 Highway 2 E
Devils Lake, ND 58301
Phone (701) 662-4085
101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286
2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550
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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Minot, ND
- NPI 1629636204
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1568554285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 HWY 2 E",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583010130",
"telephone_number": "701-662-4085",
"fax_number": "701-662-6010"
}
],
"practiceLocations": [
{
"address_1": "2305 37th Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587017669",
"country_code": "US",
"telephone_number": "701-418-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKEN",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ND",
"license": "5595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568554285",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11630",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "180043931",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "18005266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD MN",
"identifier": "292T7DI",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.