Active NPI
Gregory A Robertson, M.D.
- Surgery Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17506
- Practice address
- 1100 S Dobson Rd Ste 204
Chandler, AZ 85286-6160 - Phone
- (602) 726-3606
- Fax
- (623) 208-5075
- NPI assigned
- Feb 12, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17506 | AZ | Primary |
Addresses
Primary practice location
1100 S Dobson Rd Ste 204
Chandler, AZ 85286-6160
Mailing address
PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296170-004 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Harvard Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (480) 728-8000
500 W Thomas Rd
680 DHMG St Joseph'S Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17506 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients | |
| Sjhmc Physician Services | Current | Accepting new patients | |
| Agave Surgical Associates PC | Surgery | Current | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
1100 S Dobson Rd
Ste 204
Chandler, AZ 85286
Phone (602) 582-5233
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
5240 E Knight Dr
Ste 116
Tucson, AZ 85712
Phone (520) 320-5665
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
File 56765
Los Angeles, CA 90074
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Surgery Physician
- Tucson, AZ
- NPI 1063577054
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1609917418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33269",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850673269",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S DOBSON RD STE 204",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852866160",
"telephone_number": "602-726-3606",
"fax_number": "623-208-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "GREGORY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "17506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296170-004",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.