Individual provider Active NPI

Robert A. Egert, MD

  • Physical Medicine & Rehabilitation Physician
  • Chico, CA
National Provider Identifier
1861548208
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A49684 Issued in CA
Practice address
552 Vallombrosa Ave
Chico, CA 95926-4038
Phone
(530) 343-8438
Fax
(530) 343-2609
NPI assigned
Jan 26, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A49684 CA Primary

Addresses

Primary practice location

552 Vallombrosa Ave
Chico, CA 95926-4038

Mailing address

552 Vallombrosa Ave
Chico, CA 95926-4038
Phone (530) 343-8438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080611000836 CA Practitioner - Physical Medicine and Rehabilitation 8921179409 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
George Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 Rio Lindo Ave
Suite 120
Chico, CA 95926-5523
Phone (530) 343-8438

552 Vallombrosa Ave
Chico, CA 95926-4038
Phone (530) 343-8438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49684CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy U Physical Therapy and Wellness Inc CurrentSince Feb 10, 2016 Accepting new patients
Robert K. Otani, M.D. PastSince Jan 24, 2013 Accepting new patients

Locations

552 Vallombrosa Ave
Chico, CA 95926
Phone (530) 343-8438

Organizations & group practices 2

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1861548208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 VALLOMBROSA AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959264038",
            "telephone_number": "530-343-8438",
            "fax_number": "530-343-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 VALLOMBROSA AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959264038",
            "telephone_number": "530-343-8438",
            "fax_number": "530-343-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGERT",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A49684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.