Individual provider Active NPI

Larry Curtis Dobbs, MD

  • Otolaryngology Physician
  • Belleville, IL
National Provider Identifier
1881628931
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036056349 Issued in IL
Practice address
2900 Frank Scott Pkwy W Ste 930
Belleville, IL 62223-5010
Phone
(618) 235-8080
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036056349 IL Primary

Addresses

Primary practice location

2900 Frank Scott Pkwy W Ste 930
Belleville, IL 62223-5010

Mailing address

2900 Frank Scott Pkwy W Ste 930
Belleville, IL 62223-5010
Phone (618) 235-8080

Other identifiers 1

IdentifierTypeStateIssuer
036056349MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071217000584 IL Practitioner - Otolaryngology 4587754361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arkansas College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

3417 Anderson Healthcare Dr
Suite 200
Edwardsville, IL 62025-7784
Phone (618) 288-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036056349ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical Group, LLC Otolaryngology CurrentSince Feb 1, 2023 Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients

Locations

211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700

3417 Anderson Healthcare Dr
Ste 200
Edwardsville, IL 62025
Phone (618) 288-8500

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

Interoperability endpoints

  • Direct secure messaging: ldobbs170905@direct.carenet.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1881628931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W STE 930",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235010",
            "telephone_number": "618-235-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W STE 930",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235010",
            "telephone_number": "618-235-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "LARRY",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036056349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056349",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.