Robert D Hulburt, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57084-21 Issued in WI

Practice address

321 Butts Ave
Tomah, WI 54660-1412

Phone

(608) 372-2181

NPI assigned

Aug 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Addiction Services and Pharmacotherapy SCGroup PAC ID 2860818937, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice Touch Hospice, Tomah, WI, CCN 521547
• Tomah Memorial Hospital Hospital, Tomah, WI, CCN 521320

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rhulburt630859@direct.emplifyhealth.org

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.

• Addiction Services and Pharmacotherapy, SC

  • Methadone Clinic
  • Madison, WI
  • NPI 1265922660
  Medicare reassignment Care Compare group NPD
• Tomah Memorial Hospital Inc

  • Critical Access Hospital
  • Tomah, WI
  • NPI 1184765240
  Medicare reassignment NPD
• Tomah Memorial Hospital Inc

  • Critical Access Hospital
  • Tomah, WI
  • NPI 1992970453
  Medicare reassignment NPD
• Addiction Services and Pharmacotherapy, SC

  • Methadone Clinic
  • Kenosha, WI
  • NPI 1538820790
  NPD
• Tomah Memorial Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Tomah, WI
  • NPI 1205978046
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tomah Memorial Hospital Inc

  • Critical Access Hospital
  • Tomah, WI
  • NPI 1184765240
  Care Compare affiliation
• Tomah Memorial Hospital Inc

  • Community Based Hospice Care Agency
  • Tomah, WI
  • NPI 1588706329
  Care Compare affiliation

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1790976520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BUTTS AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546601412",
            "telephone_number": "608-372-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BUTTS AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546601412",
            "telephone_number": "608-372-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBURT",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "57084-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790976520",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clyde Philip Houston, DDS
• Jairus Houston, DDS
• Alyssa Anne Hovda, RD, CSO, CD, CDCES
• Julie C Howard, MD
• William F Howell
• Pauline Hulstein, RN
• Susan Mercy Humphrey, LCSW
• Roslyn Ann Huneke, RN
• Danielle M Hunter, RN
• Roderick Michael Hyde, PA-C

• Family Medicine Physician in Tomah, WI
• Providers in Tomah, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.

Verify at the official NPI Registry.