Individual provider Active NPI

Robert John Cain, MD

  • Pediatrics Physician
  • Starkville, MS
National Provider Identifier
1770595753
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12954 Issued in MS
Practice address
5 Professional PLZ
Starkville, MS 39759-1900
Phone
(662) 323-0999
Fax
(662) 324-0250
NPI assigned
Aug 11, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12954 MS Primary
Pediatrics Physician 208000000X 00015992 AL

Addresses

Primary practice location

5 Professional PLZ
Starkville, MS 39759-1900

Mailing address

5 Professional PLZ
Starkville, MS 39759-1900
Phone (662) 323-0999

Other identifiers 2

IdentifierTypeStateIssuer
00114934MedicaidMS
09015837OtherMSGROUP MEDICAID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00015992ALMDPediatrics Physician
12954MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oktibbeha County Hospital Past Accepting new patients
Och Professional Services Past Accepting new patients
Baptist Memorial Hosp Oktibbeha County Inc. Past Accepting new patients
Starkville Pediatric Clinic Pediatrics PastSince Aug 17, 2025 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1770595753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL PLZ",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591900",
            "telephone_number": "662-323-0999",
            "fax_number": "662-324-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL PLZ",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591900",
            "telephone_number": "662-323-0999",
            "fax_number": "662-324-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "12954",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00015992",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114934",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "09015837",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.