Individual provider Active NPI

Robert G McGreevy, MD

  • Surgery Physician
  • Stayton, OR
National Provider Identifier
1770545477
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD17836 Issued in OR
Practice address
1371 N 10TH Ave
Stayton, OR 97383-2037
Phone
(503) 769-3785
Fax
(503) 769-3741
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD17836 OR Primary

Addresses

Primary practice location

1371 N 10TH Ave
Stayton, OR 97383-2037

Mailing address

1371 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-3785

Other identifiers 1

IdentifierTypeStateIssuer
081174MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.mc.greevy.1@14369.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20050527000513 OR Practitioner - General Surgery 0446292668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Francisco School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians

Practice addresses (Care Compare)

1369 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-8470

1371 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-3785

1373 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-9522

1375 N 10TH Ave
Suite B
Stayton, OR 97383-2099
Phone (503) 769-7546

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

Hospital & facility affiliations

  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Apr 1, 2019 Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Santiam Memorial Hospital CurrentSince Nov 22, 2016 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health Surgery CurrentSince Apr 1, 2019 Accepting new patients
Santiam Memorial Hospital Past Accepting new patients
Robert G. McGreevy MD, PC Surgery PastSince Sep 12, 2005 Accepting new patients

Locations

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1371 N 10th Ave
Stayton, OR 97383
Phone (503) 769-1605

Interoperability endpoints

  • Direct secure messaging: rmcgreevy179087@secure.stcharleshealthcare.org
  • Direct secure messaging: robert.mc.greevy.1@14369.direct.athenahealth.com
  • Direct secure messaging: rmcgreevy@santiam.securechart.com

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.

Hospital & facility affiliations 2

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1770545477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 N 10TH AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973832037",
            "telephone_number": "503-769-3785",
            "fax_number": "503-769-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 N 10TH AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973832037",
            "telephone_number": "503-769-3785",
            "fax_number": "503-769-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREEVY",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD17836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081174",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.mc.greevy.1@14369.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1371 N 10th Ave",
            "city": "Stayton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973832037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stayton, OR

Sources for this page

Verify at the official NPI Registry.