Individual provider Active NPI

Robert L Gates, MD

  • Pediatric Surgery Physician
  • Greenville, SC
National Provider Identifier
1659363133
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
33172 Issued in SC
Practice address
48 Cross Park CT
Greenville, SC 29605-4263
Phone
(864) 797-7400
Fax
(864) 797-7405
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 33172 SC Primary

Addresses

Primary practice location

48 Cross Park CT
Greenville, SC 29605-4263

Mailing address

300 E McBee Ave
Greenville, SC 29601-2842

Other identifiers 1

IdentifierTypeStateIssuer
APPROVEDMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgates7260@direct.ghs.myhfn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110223000889 SC Practitioner - General SurgeryPractitioner - Other (Physician) 2466541271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wake Forest University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

701 Grove Rd
Greenville, SC 29605-4210

890 W Faris Rd
Greenville, SC 29605-4286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33172SCMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 25, 2010 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 25, 2010 Accepting new patients
Greenville Health System CurrentSince Oct 25, 2010 Accepting new patients
Perinatal & Pediatric Specialists Medical Group Inc. Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

48 Cross Park Ct
Greenville, SC 29605
Phone (864) 235-1122

900 W Faris Rd
Greenville, SC 29605
Phone (864) 455-6743

300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

900 W Faris Rd
Fl 2
Greenville, SC 29605
Phone (864) 455-8898

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

890 W Faris Rd
Ste 470
Greenville, SC 29605
Phone (864) 455-1600

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

7 Independence Pt
Ste 100
Greenville, SC 29615
Phone (864) 797-6106

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Organizations & group practices 4

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1659363133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CROSS PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054263",
            "telephone_number": "864-797-7400",
            "fax_number": "864-797-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "SC",
            "license": "33172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPROVED",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgates7260@direct.ghs.myhfn.org",
            "affiliation": "N",
            "address_1": "48 Cross Park Ct",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.