Individual provider Active NPI

Seth R Robb, PA-C

  • Physician Assistant
  • Clive, IA
National Provider Identifier
1669786273
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002145 Issued in IA
Practice address
12327 Stratford Dr
Clive, IA 50325-8148
Phone
(515) 224-7088
Fax
(515) 224-9228
NPI assigned
Aug 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002145 IA Primary

Addresses

Primary practice location

12327 Stratford Dr
Clive, IA 50325-8148

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Seth.Robb@forefrontdermatology.emadirect.md

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908001644 IA Practitioner - Physician Assistant 5799955498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Iowa, RJ & L Carver College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SC 650 clinicians

Practice addresses (Care Compare)

12327 Stratford Dr
Clive, IA 50325-8148
Phone (515) 224-7088

202 10TH St SE
Suite 270
Cedar Rapids, IA 52403-2420
Phone (319) 294-4319

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

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. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002145IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jul 26, 2017 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jul 26, 2017 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

855 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 366-2013

202 10th St SE
Ste 270
Cedar Rapids, IA 52403
Phone (319) 294-4319

12327 Stratford Dr
Des Moines, IA 50325
Phone (515) 224-7088

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: seth.robb@forefrontdermatology.emadirect.md

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": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1669786273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9034",
            "fax_number": "920-663-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12327 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258148",
            "telephone_number": "515-224-7088",
            "fax_number": "515-224-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "SETH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Seth.Robb@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "12327 Stratford Dr",
            "city": "Clive",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503258148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.