Robert J O'Bert, MD
Individual provider Active NPI Otolaryngology Physician · Saint Louis, MO
NPI 1891880225 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1891880225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 2006005287 (MO)
- Practice address
- 3009 N Ballas Rd
Suite 351C
Saint Louis, MO 63131-2322 - Phone
- (314) 996-4790
- Fax
- (314) 996-4792
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of Cincinnati College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Groups LC
Practice addresses (Care Compare)
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
3009 N Ballas Rd
Saint Louis, MO 63131-2324
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
Hospital & facility affiliations
- Missouri Baptist Medical Center
- Barnes-Jewish West County Hospital
- Memorial Hospital
- Christian Hospital Northeast
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091120000499 | MO | Practitioner - Otolaryngology | 7618016270 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Current |
Accepting new patients | |
| Physician Groups LC | Current |
Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients |
Locations
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
3009 N Ballas Rd
Ste 380C
Saint Louis, MO 63131
Phone (314) 996-4790
670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250
3009 N Ballas Rd
Ste 351C
Saint Louis, MO 63131
Phone (314) 996-4790
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2006005287 | MO | Yes |
Addresses
Primary practice location
3009 N Ballas Rd
Suite 351C
Saint Louis, MO 63131-2322
Mailing address
3009 N Ballas Rd Ste 380C
Saint Louis, MO 63131-2324
Phone (314) 996-4790
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Saint Louis, MO
- Talisha Julia Nyman
- Saydee Nymeyer
- Amanda Nystrom
- Valerie Paris O Bannon
- Sean Michael O'Bannon
- Kyle Anthony O'Blanc
- Christopher Paul O'Boynick
- O'Brien Pediatric Therapy, Inc.
- Bridget Lee O'Brien
- Daniel Robert O'Brien
All providers in Saint Louis, MO · Otolaryngology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.