Individual provider Active NPI

Derek J Robinson, M.D.

  • Emergency Medicine Physician
  • Gary, IN
National Provider Identifier
1750394169
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-113564 Issued in IL
Practice address
600 Grant St
Gary, IN 46402
Phone
(219) 886-4000
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01058489A IN
Emergency Medicine Physician 207P00000X 036-113564 IL Primary

Addresses

Primary practice location

600 Grant St
Gary, IN 46402

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600

Other practice location 1

5665 New Northside Dr NW Ste 320
Atlanta, GA 30328-5834
Phone (770) 874-5400

Other practice location 2

5665 New Northside Dr NW Ste 320
Atlanta, GA 30328-5834
Phone (770) 874-5400

Other practice location 3

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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
I20041019000828 IN Practitioner - Emergency MedicinePractitioner - General Practice 5991766420 Reassigns benefits to 2 organizations
I20051122000323 IL Practitioner - Emergency Medicine 5991766420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-113564ILMDEmergency Medicine Physician
01058489AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Oct 30, 2017 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Apollomd Group Services LLC Emergency Medicine Past Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Organizations & group practices 7

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1750394169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46402",
            "telephone_number": "219-886-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5665 New Northside Dr NW Ste 320",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285834",
            "country_code": "US",
            "telephone_number": "770-874-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5665 New Northside Dr NW Ste 320",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285834",
            "country_code": "US",
            "telephone_number": "770-874-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DEREK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01058489A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-113564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.