Robert Hagebak, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD220099 Issued in OR

Practice address

1801 16TH St
Greeley, CO 80631-5154

Phone

(970) 350-6399

Fax

(970) 378-4687

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, HI, OR3 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 3

Specialty

Anesthesiology

Education

University of Texas Medical Branch at Galveston, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rhagebak180510@direct.ohsu.edu

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.

• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Roseburg, OR
  • NPI 1235842196
  Medicare reassignment Care Compare group NPD
• Rocky Mountain State Anesthesia Providers

  • Anesthesiology Physician
  • Greeley, CO
  • NPI 1730692054
  Medicare reassignment NPD
• Sterling Anesthesia Associates LLC

  • Anesthesiology Physician
  • Sterling, CO
  • NPI 1932978897
  Medicare reassignment NPD
• The Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Honolulu, HI
  • NPI 1356362990
  Medicare reassignment NPD
• Tuality Anesthesia Services, LLC

  • Anesthesiology Physician
  • Hillsboro, OR
  • NPI 1508174012
  Medicare reassignment NPD
• Rocky Mountain State Anesthesia Providers

  • Anesthesiology Physician
  • Loveland, CO
  • NPI 1710510417
  NPD
• Vail Valley Anesthesia, PC

  • Anesthesiology Physician
  • Vail, CO
  • NPI 1992734651
  NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Langhorne, PA
  • NPI 1093678229
  NPD

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

• Commonspirit Oregon

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1861421430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824246",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824246",
            "telephone_number": "954-545-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-350-6399",
            "fax_number": "970-378-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEBAK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "42245",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD220099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18786537",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Jane Guzman, M.A.
• Kryste Haas, OTR
• Katelyn Habernal
• Daryl R Hackstadt, RN
• Johanna M Hadwin, LPN
• Kathleen Gaffney Hagihara, R.N..
• Katherine Haiby, MD
• Sameah Adeeb Haider, M.D.
• Brianna Hail-Wohlgemuth, RBT
• Kara Lee Haines, MFTC

• Anesthesiology Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.