Individual provider Active NPI

Robert Leighton Hubley, DO

  • Hospitalist Physician
  • Hot Springs, AR
National Provider Identifier
1659537736
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E11784 Issued in AR
Practice address
1 Mercy LN Ste 405
Hot Springs, AR 71913-6441
Phone
(501) 609-2222
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.009204 OH
Hospitalist Physician 208M00000X E11784 AR Primary

Addresses

Primary practice location

1 Mercy LN Ste 405
Hot Springs, AR 71913-6441

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 609-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131001759 AR Practitioner - Hospitalist 3375690522 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.009204OHMDFamily Medicine Physician
E11784ARMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess Hospitalist LLC Hospitalist CurrentSince Oct 5, 2023 Accepting new patients
St Marys Physician Services, LLC CurrentSince Dec 11, 2018 Accepting new patients
St Mary'S Physician Services LLC CurrentSince Dec 11, 2018 Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients
Platte Community Memorial Hospital, Inc. Family Medicine PastSince Aug 1, 2021 Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

Organizations & group practices 5

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1659537736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-609-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN STE 405",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136441",
            "telephone_number": "501-609-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBLEY",
        "first_name": "ROBERT",
        "middle_name": "LEIGHTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.009204",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E11784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.