NPIMap

Individual provider Active NPI

Robert Charles Dicintio, PA-C

  • Medical Physician Assistant
  • El Reno, OK
National Provider Identifier
1811085178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
363AM0700X Issued in OK
Practice address
203 S Rock Island Ave
El Reno, OK 73036-2734
Phone
(405) 295-2200
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 363AM0700X OK Primary

Addresses

Primary practice location

203 S Rock Island Ave
El Reno, OK 73036-2734

Mailing address

203 S Rock Island Ave
El Reno, OK 73036-2734
Phone (405) 295-2200

Other identifiers 2

IdentifierTypeStateIssuer
200019280AMedicaidOK
564OtherOKSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311001173 OK Practitioner - Physician Assistant 1254220999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

3345 Territory LN
El Reno, OK 73036-6503
Phone (405) 218-2530

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

  • Elara Caring XX Home health agency, Oklahoma City, OK, CCN 377648
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
564OKMDSpeech-Language Pathologist
363AM0700XOKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Feb 9, 2018 Accepting new patients
Saints Medical Group, LLC CurrentSince May 1, 2019 Accepting new patients
Parkview Hospital Current Accepting new patients
Saints Medical Group, LLC CurrentSince May 1, 2019 Accepting new patients
Mercy Health Network Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Access LLC Past Accepting new patients
Saint Medical Group, LLC Past Accepting new patients
El Reno Family Clinic and Minor Emergency Services, Inc Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

3345 Territory Ln
El Reno, OK 73036
Phone (405) 252-3550

2315 Parkview Dr
Ste 2A
El Reno, OK 73036
Phone (405) 252-3550

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

Interoperability endpoints

  • Direct secure messaging: rdicintio303514@direct-ehr-ssmhc.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811085178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ROCK ISLAND AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362734",
            "telephone_number": "405-295-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S ROCK ISLAND AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362734",
            "telephone_number": "405-295-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICINTIO",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "363AM0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019280A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "564",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.