Individual provider Active NPI

David Alan Robinson, MD

  • Specialist
  • Munster, IN
National Provider Identifier
1629098579
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01053821A Issued in IN
Practice address
10110 Donald S Powers Drive
Suite 201a
Munster, IN 46321
Phone
(219) 513-2100
Fax
(219) 836-2100
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01053821A IN Primary

Addresses

Primary practice location

10110 Donald S Powers Drive
Suite 201a
Munster, IN 46321

Mailing address

10110 Donald S Powers Drive
Suite 201a
Munster, IN 46321
Phone (219) 513-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040722001126 IN Practitioner - Plastic and Reconstructive Surgery 6608856372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rush Medical College of Rush University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10110 Don S Powers Dr
Munster, IN 46321-4070
Phone (219) 513-2100

401 Wall St
Valparaiso, IN 46383-2521
Phone (219) 513-2100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Melanoma (skin cancer) excision23
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053821AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Plastic Surgery, PC CurrentSince Mar 25, 2014 Accepting new patients

Locations

10110 Donald S Powers Dr
Munster, IN 46321
Phone (219) 922-8222

10110 Donald S Powers Dr
Ste 201A
Munster, IN 46321
Phone (219) 326-5700

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1629098579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 DONALD S POWERS DRIVE",
            "address_2": "SUITE 201A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-513-2100",
            "fax_number": "219-836-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 DONALD S POWERS DRIVE",
            "address_2": "SUITE 201A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-513-2100",
            "fax_number": "219-836-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01053821A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.