Individual provider Active NPI

Robert James Allen, M.D.

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1821049800
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13801 Issued in AZ
Practice address
6153 W Olive Ave
Glendale, AZ 85302-4564
Phone
(602) 685-6000
Fax
(623) 937-2589
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13801 AZ Primary

Addresses

Primary practice location

6153 W Olive Ave
Glendale, AZ 85302-4564

Mailing address

3003 N Central Ave
Suite 200
Phoenix, AZ 85012-2902
Phone (602) 685-6132

Other identifiers 1

IdentifierTypeStateIssuer
794174MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051108001058 AZ Practitioner - Family PracticePractitioner - Addiction Medicine 0446278451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carelon Medical Partners of Arizona PCGroup PAC ID 6406010552, 15 clinicians

Practice addresses (Care Compare)

7091 E Speedway Blvd
Tucson, AZ 85710-1241
Phone (520) 721-5777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13801AZMDFamily Medicine Physician
15874AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Feb 20, 2006 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Feb 20, 2006 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Family Medicine CurrentSince May 1, 2023 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Family Medicine CurrentSince May 1, 2023 Accepting new patients
Sunset Community Health Center Inc Past Accepting new patients
Community Bridges, Inc. PastSince Jul 17, 2022 Accepting new patients
Community Bridges, Inc. PastSince Jun 21, 2022 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

191 W Esperanza Blvd
Green Valley, AZ 85614
Phone (520) 791-7300

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

Interoperability endpoints

  • Direct secure messaging: robert.allen.p4@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: robert.allen.1@32527.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1821049800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-685-6132",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6153 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024564",
            "telephone_number": "602-685-6000",
            "fax_number": "623-937-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "13801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "794174",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.