Individual provider Active NPI

Robert Peter Gossett, M.D.

  • Urology Physician
  • Shelby, NC
National Provider Identifier
1891708822
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
24070 Issued in NC
Practice address
1001 N Washington St
Shelby, NC 28150-1800
Phone
(704) 482-2011
Fax
(704) 484-0303
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 24070 NC Primary

Addresses

Primary practice location

1001 N Washington St
Shelby, NC 28150-1800

Mailing address

9735 Kincey Ave
Suite 201
Huntersville, NC 28078-9118
Phone (704) 414-2870

Other identifiers 3

IdentifierTypeStateIssuer
340013358OtherNCRR MEDICARE
24070OtherNCNC MEDICAL LICENSE #
230126OtherNCMEDICARE PTAN

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
I20100304000995 NC Practitioner - Urology 8426013780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24070NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Urology Partners PLLC Urology CurrentSince Mar 1, 2011 Accepting new patients
Stone Institute of the Carolinas LLC Urology CurrentSince Jul 1, 1992 Accepting new patients
Cleveland Urologic Surgery, PA Urology PastSince Jan 6, 2010 Accepting new patients

Locations

9735 Kincey Ave
Ste 302
Huntersville, NC 28078
Phone (704) 414-2870

9735 Kincey Ave
Ste 201
Huntersville, NC 28078
Phone (704) 414-2865

1001 N Washington St
Shelby, NC 28150
Phone (704) 482-2011

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: robert.gossett.p1@direct.cup.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1891708822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-414-2870",
            "fax_number": "704-414-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N WASHINGTON ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281501800",
            "telephone_number": "704-482-2011",
            "fax_number": "704-484-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSETT",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "24070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340013358",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE #",
            "identifier": "24070",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "230126",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.