Active NPI
Robert Thomas Crowder Jr., MD
- Diagnostic Radiology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 51075
- Practice address
- 6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750 - Phone
- (480) 456-9000
- NPI assigned
- Apr 6, 2012
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 51075 | AZ | Primary |
Addresses
Primary practice location
6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750
Mailing address
13001 East 17TH Place
University of Colorado Denver School of Medicine Gme
Aurora, CO 80045-2579
Phone (303) 724-6031
Other practice location 1
13001 East 17th Place
University of Colorado Denver School of Medicine GME
Aurora, CO 80045-2579
Phone (303) 724-6031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405915 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13521 Saw Palm Creek TRL
Bradenton, FL 34211-2611
Phone (404) 662-2438
162 Grand Palm CT
Ponte Vedra Beach, FL 32082-0005
Phone (404) 662-2438
1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 399-5550
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Baptist Medical Center - Nassau
- HCA Florida Memorial Hospital
- HCA Florida Orange Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 96.18
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1649536376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 EAST 17TH PLACE",
"address_2": "UNIVERSITY OF COLORADO DENVER SCHOOL OF MEDICINE GME",
"city": "AURORA",
"state": "CO",
"postal_code": "800452579",
"telephone_number": "303-724-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6424 E BROADWAY RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852061750",
"telephone_number": "480-456-9000"
}
],
"practiceLocations": [
{
"address_1": "13001 East 17th Place",
"address_2": "University of Colorado Denver School of Medicine GME",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452579",
"country_code": "US",
"telephone_number": "303-724-6031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROWDER",
"first_name": "ROBERT",
"middle_name": "THOMAS",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-06",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "51075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405915",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.