Individual provider Active NPI

Bernard N Robinowitz, M.D.

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1598760712
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10381 Issued in OK
Practice address
9245 S Mingo Rd
Suite 335
Tulsa, OK 74133-5793
Phone
(918) 492-8980
Fax
(918) 495-0607
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10381 OK Primary

Addresses

Primary practice location

9245 S Mingo Rd
Suite 335
Tulsa, OK 74133-5793

Mailing address

9245 S Mingo Rd
Suite 335
Tulsa, OK 74133-5793
Phone (918) 492-8980

Other identifiers 3

IdentifierTypeStateIssuer
730981399001OtherBLUE CROSS
072120757OtherRAILROAD MEDICARE
100117050AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000830 OK Practitioner - Dermatology 4688861081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

9245 S Mingo Rd
Tulsa, OK 74133-5793
Phone (918) 574-0250

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions641
Removal or shaving of skin growth1-10
Skin biopsy138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10381OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jul 1, 2013 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Jul 1, 2013 Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

9245 S Mingo Rd
Ste 335
Tulsa, OK 74133
Phone (918) 492-8980

Dept 1206
Tulsa, OK 74182

9245 S Mingo Rd
Tulsa, OK 74133
Phone (918) 492-8980

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: brobinowitz113065@ahs.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1598760712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "address_2": "SUITE 335",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-492-8980",
            "fax_number": "918-495-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "address_2": "SUITE 335",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-492-8980",
            "fax_number": "918-495-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINOWITZ",
        "first_name": "BERNARD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "10381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "730981399001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "072120757",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.