Individual provider Active NPI

Robert Tracer

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1689637811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
147410 Issued in NY
Practice address
3131 Kings Hwy
Suite D7
Brooklyn, NY 11234-2644
Phone
(718) 240-6385
Fax
(718) 240-6756
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 147410 NY Primary

Addresses

Primary practice location

3131 Kings Hwy
Suite D7
Brooklyn, NY 11234-2644

Mailing address

1918 E 22ND St
Brooklyn, NY 11229-1527
Phone (718) 336-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040720001616 NY Practitioner - Gastroenterology 5395725477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of New York Downstate Medical Center, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Bigajer and Robert S Tracer MD PLLCGroup PAC ID 9931189883, 2 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
RM 323
Brooklyn, NY 11212-3139
Phone (718) 240-6385

1687 Ralph Ave
Brooklyn, NY 11236-3319
Phone (718) 240-6385

1901 Utica Ave
Brooklyn, NY 11234-3213
Phone (718) 629-1974

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Upper gastrointestinal (GI) endoscopy for acid reflux18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Bigajer & Robert S Tracer MD PLLC Gastroenterology CurrentSince Mar 1, 2004 Accepting new patients

Locations

187 Conklin Ave
Brooklyn, NY 11236
Phone (718) 257-5544

1 Brookdale Plz
Rm 323
Brooklyn, NY 11212
Phone (718) 240-6385

1901 Utica Ave
Brooklyn, NY 11234
Phone (718) 520-0857

1687 Ralph Ave
Brooklyn, NY 11236
Phone (718) 251-7191

3131 Kings Hwy
Ste D7
Brooklyn, NY 11234
Phone (718) 240-6385

5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689637811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291527",
            "telephone_number": "718-336-8870",
            "fax_number": "718-382-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "address_2": "SUITE D7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "718-240-6385",
            "fax_number": "718-240-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACER",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "147410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.