Individual provider Active NPI

Rebecca Robarge, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1720349244
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R73446 Issued in AZ
Practice address
1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848
Phone
(602) 839-2668
Fax
(602) 839-2067
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R73446 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848

Mailing address

1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848
Phone (602) 839-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150826001820 TX Practitioner - Family Practice 1850607508 Reassigns benefits to 1 organization
I20151228000669 AZ Practitioner - Family Practice 1850607508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winslow Memorial Hospital IncGroup PAC ID 8628988409, 44 clinicians

Practice addresses (Care Compare)

1 5 Miles N of Leupp Chapter House
Leupp Health Station
Leupp, AZ 86035
Phone (928) 289-4646

1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047-2169

500 N Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

SWC Navajo Route 15 and 60
1 Medical Center Dr
Dilkon, AZ 86047-2169
Phone (928) 289-4646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R73446AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Memorial Hospital Inc CurrentSince Nov 10, 2015 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Winslow Memorial Hospital Inc CurrentSince Nov 10, 2015 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jul 6, 2015 Accepting new patients
Dilkon Medical Center CurrentSince Jul 6, 2015 Accepting new patients

Locations

500 Indiana Ave
Winslow, AZ 86047

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

1500 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-3396

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1720349244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE 605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-839-2668",
            "fax_number": "602-839-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE 605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-839-2668",
            "fax_number": "602-839-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBARGE",
        "first_name": "REBECCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R73446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.