Individual provider Active NPI

Robert Joseph Eckensweiler, MD

  • Family Medicine Physician
  • Hillsborough, NC
National Provider Identifier
1891287934
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021-01044 Issued in NC
Practice address
267 S Churton St
Hillsborough, NC 27278-2695
Phone
(919) 732-8131
NPI assigned
Jun 5, 2018
Reactivated
Feb 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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
Family Medicine Physician 207Q00000X 2021-01044 NC Primary

Addresses

Primary practice location

267 S Churton St
Hillsborough, NC 27278-2695

Mailing address

267 S Churton St
Hillsborough, NC 27278-2695
Phone (919) 732-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210809000746 NC Practitioner - Family Practice 1052715398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

165 Holt Garrison Pkwy
Danville, VA 24540-5949
Phone (434) 688-0163

267 S Churton St
Suite 100
Hillsborough, NC 27278-2506
Phone (919) 732-8131

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

267 S Churton St
Ste 100
Hillsborough, NC 27278
Phone (919) 732-8131

267 S Churton St
Hillsborough, NC 27278
Phone (919) 643-4524

Interoperability endpoints

  • Direct secure messaging: reckensweiler565197@direct.medicine.duke.edu

Organizations & group practices 5

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 8

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1891287934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 S CHURTON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782695",
            "telephone_number": "919-732-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 S CHURTON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782695",
            "telephone_number": "919-732-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENSWEILER",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-01044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

Verify at the official NPI Registry.