Individual provider Active NPI

Nuru Abseno Robi, M.D.

  • Obstetrics & Gynecology Physician
  • Stafford, VA
National Provider Identifier
1851558555
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD040701 Issued in DC
Practice address
125 Hospital Center Blvd Ste 110
Stafford, VA 22554-6202
Phone
(540) 602-6500
NPI assigned
May 20, 2008
Last updated
Jun 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X MD040701 DC Primary

Addresses

Primary practice location

125 Hospital Center Blvd Ste 110
Stafford, VA 22554-6202

Mailing address

125 Hospital Center Blvd Ste 110
Stafford, VA 22554-6202
Phone (540) 602-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120807000611 DC Practitioner - Obstetrics/Gynecology 9436305430 Reassigns benefits to 3 organizations
I20200310001160 VA Practitioner - Obstetrics/Gynecology 9436305430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 Hospital Ctr Blvd
Stafford, VA 22554-6202
Phone (540) 602-6500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University Obstetrics & Gynecology CurrentSince Apr 9, 2018 Accepting new patients
Unity Health Care, Inc. CurrentSince Sep 13, 2014 Accepting new patients
Unity Health Care Inc. CurrentSince Sep 13, 2014 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jun 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Obstetrics & Gynecology CurrentSince Jan 8, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Obstetrics & Gynecology Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 8, 2020 Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

765 Kenilworth Ter NE
Washington, DC 20019
Phone (202) 388-8160

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500

125 Hospital Center Blvd
Ste 110
Stafford, VA 22554
Phone (540) 602-6300

14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000

Organizations & group practices 7

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1851558555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL CENTER BLVD STE 110",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546202",
            "telephone_number": "540-602-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL CENTER BLVD STE 110",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546202",
            "telephone_number": "540-602-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBI",
        "first_name": "NURU",
        "middle_name": "ABSENO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD040701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "125 Hospital Center Blvd Ste 110",
            "city": "Stafford",
            "state": "VA",
            "country_code": "US",
            "postal_code": "225546202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.