Individual provider Active NPI

Robert Franklin Crowe, M.D., M.S.

  • Pediatrics Physician
  • Leesville, LA
National Provider Identifier
1790774958
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200653 Issued in LA
Practice address
802 S 10TH St
Suite C
Leesville, LA 71446-4659
Phone
(337) 239-2207
Fax
(337) 239-2583
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200653 LA Primary

Addresses

Primary practice location

802 S 10TH St
Suite C
Leesville, LA 71446-4659

Mailing address

802 S 10TH St
Suite C
Leesville, LA 71446-4659
Phone (337) 239-2207

Other identifiers 1

IdentifierTypeStateIssuer
1584339MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20060815000401 LA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 0244233161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Pediatrics, LLCGroup PAC ID 5698847317, 5 clinicians

Practice addresses (Care Compare)

919 S 10TH St
Leesville, LA 71446-4613
Phone (337) 239-2207

Hospital & facility affiliations

  • Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Pediatrics, LLC CurrentSince Nov 1, 2019 Accepting new patients
Pediatric Center of Many LLC Pediatrics Past Accepting new patients
Professional Pediatrics, LLC Pediatrics Past Accepting new patients

Locations

919 S 10th St
Leesville, LA 71446
Phone (337) 239-2207

802 S 10th St
Ste C
Leesville, LA 71446
Phone (337) 238-4189

Interoperability endpoints

  • Direct secure messaging: brhrcrowe@yourcarecommunity.org
  • Direct secure messaging: robert.crowe@3288.securemail.prognocis.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Pediatric Center and Sabine Urgent Care of LeesvilleLeesville, LA, CCN 193960 Rural health clinic 5% Or Greater Direct Ownership Interest (50%) Jan 7, 2008
Sabine Urgent Care of ManyMany, LA, CCN 193968 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 24, 2016
The Pediatric Center of ManyMany, LA, CCN 193967 Rural health clinic 5% Or Greater Direct Ownership Interest (50%) Jan 9, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 1

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1790774958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S 10TH ST",
            "address_2": "SUITE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464659",
            "telephone_number": "337-239-2207",
            "fax_number": "337-239-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 10TH ST",
            "address_2": "SUITE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464659",
            "telephone_number": "337-239-2207",
            "fax_number": "337-239-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "ROBERT",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "200653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584339",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.