Active NPI
Robert B Dugan, D.O.
- Family Medicine Physician
- Erie, PA
National Provider Identifier
1902854367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS009851L
- Practice address
- 926 W 38TH St
Erie, PA 16508-2531 - Phone
- (814) 866-1960
- Fax
- (814) 866-1935
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS009851L | PA | Primary |
Addresses
Primary practice location
926 W 38TH St
Erie, PA 16508-2531
Mailing address
926 W 38TH St
Erie, PA 16508-2531
Phone (814) 866-1960
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155790 | Other | PA | HEALTH AMERICA |
| 039899 | Other | PA | HIGHMARK BC/BS |
| 1510251 | Other | PA | GATEWAY |
| 0017226550003 | Medicaid | PA | |
| 210832 | Other | PA | UPMC |
| 39D0999420 | Other | PA | CLIA NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090120000027 | PA | Practitioner - Family Practice | 1153484050 | Practice locations: Erie, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816
Hospital & facility affiliations
- Visiting Nurse Association of Erie County
- Upmc Hamot
- Saint Vincent Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 37 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
-
- Home Health Agency
- Erie, PA
- NPI 1932196136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1902854367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082531",
"telephone_number": "814-866-1960",
"fax_number": "814-866-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082531",
"telephone_number": "814-866-1960",
"fax_number": "814-866-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS009851L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "155790",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "039899",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1510251",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017226550003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "210832",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "39D0999420",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.