Active NPI
Robert Mawunyo Koffie, MD
- Neurological Surgery Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 59734
- Practice address
- 1757 E Baseline Rd Ste 131
Gilbert, AZ 85233-1534 - Phone
- (480) 999-5248
- Fax
- (480) 999-5285
- NPI assigned
- Jun 9, 2012
- Last updated
- Dec 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 71969-20 | WI | |
| Neurological Surgery Physician | 207T00000X | 59734 | AZ | Primary |
Addresses
Primary practice location
1757 E Baseline Rd Ste 131
Gilbert, AZ 85233-1534
Mailing address
1757 E Baseline Rd Ste 131
Gilbert, AZ 85233-1534
Phone (480) 999-5248
Other practice location 1
2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone (920) 333-8878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100089494 | Medicaid | WI | |
| 005313 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Harvard Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1757 E Baseline Rd
Suite 131
Gilbert, AZ 85233-1534
Phone (480) 999-5248
2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone (920) 333-8878
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 83 |
| Laminectomy or laminotomy (partial removal of spine bones) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71969-20 | WI | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Capital Wisconsin LLC | Neurological Surgery | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Spine Capital, LLC | Neurological Surgery | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| The Neuroscience Group of Northeast Wisconsin SC | Neurological Surgery | Current | Accepting new patients |
| Spine Capital LLC | Neurological Surgery | Current | Accepting new patients |
Locations
1757 E Baseline Rd
Ste 131
Gilbert, AZ 85233
Phone (480) 999-5248
2450 E Guadalupe Rd
Ste 103
Gilbert, AZ 85234
Phone (480) 907-6818
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000
2105 E Enterprise Ave
Ste 113
Appleton, WI 54913
Phone (920) 560-1083
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
1305 West American Dr
Neenah, WI 54956
Phone (920) 729-7687
Interoperability endpoints
- rkoffie221942@direct.valleywisehealth.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Gilbert, AZ
- NPI 1295447779
-
- Neurological Surgery Physician
- Appleton, WI
- NPI 1104621044
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Neuroscience Group
- Neurological Surgery Physician
- Neenah, WI
- NPI 1578516803
-
- Durable Medical Equipment & Medical Supplies
- Gilbert, AZ
- NPI 1619747284
Neurological Surgery
-
- Ambulatory Surgical Clinic/Center
- Chandler, AZ
- NPI 1801730536
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Hematology & Oncology Physician
- Phoenix, AZ
- NPI 1265765374
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
dba HonorHealth Four Peaks Medical Center
- General Acute Care Hospital
- Mesa, AZ
- NPI 1427875061
-
- General Acute Care Hospital
- Florence, AZ
- NPI 1497572036
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1861219404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1760744460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1757 E BASELINE RD STE 131",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852331534",
"telephone_number": "480-999-5248",
"fax_number": "480-999-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 E BASELINE RD STE 131",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852331534",
"telephone_number": "480-999-5248",
"fax_number": "480-999-5285"
}
],
"practiceLocations": [
{
"address_1": "2105 E Enterprise Ave",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549137862",
"country_code": "US",
"telephone_number": "920-333-8878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOFFIE",
"first_name": "ROBERT",
"middle_name": "MAWUNYO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-09",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WI",
"license": "71969-20",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AZ",
"license": "59734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100089494",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005313",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.