Individual provider Active NPI

Robert George Herman, MD

  • Adult Medicine Physician
  • Groton, CT
National Provider Identifier
1902867351
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
82823 Issued in CT
Practice address
85 Poheganut Dr
Groton, CT 06340-3252
Phone
(440) 255-4455
Fax
(440) 255-4487
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 82823 CT Primary
Family Medicine Physician 207Q00000X 35-050840 OH

Addresses

Primary practice location

85 Poheganut Dr
Groton, CT 06340-3252

Mailing address

7670 Maple GRV
Chesterland, OH 44026-3449
Phone (440) 376-6089

Other identifiers 7

IdentifierTypeStateIssuer
80507OtherOHQUALCHOICE
0660780MedicaidOH
341425870042OtherOHMEDICAL MUTUAL OF OHIO
264200000OtherOHDEPT OF LABOR
264200000OtherOHFEDERAL BLACK LUNG
000000339406OtherOHANTHEM
6600162OtherOHUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, HI, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040107000015 OH Practitioner - Family Practice 0749189074 Reassigns benefits to 1 organization
I20221026000795 HI Practitioner - Family Practice 0749189074 Reassigns benefits to 1 organization
I20250930001019 CT Practitioner - Family Practice 0749189074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

85 Poheganut Dr
Groton, CT 06340-3252
Phone (860) 448-6303

Hospital & facility affiliations

  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-050840OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Aug 1, 2022 Accepting new patients
Kauai Medical Clinic CurrentSince Aug 1, 2022 Accepting new patients
Lake Hospital System, Inc Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Lake Hospital System Inc. CurrentSince Oct 1, 2013 Accepting new patients
Prohealth Physicians PC Family Medicine CurrentSince Oct 20, 2025 Accepting new patients
Lake Hospital System Inc Family Medicine Current Accepting new patients
Lake Hospital System Inc Past Accepting new patients
Erie Banks Emergency Physicians LLC Past Accepting new patients
Lake Hospital System Inc. Past Accepting new patients
Lake Hospital System Past Accepting new patients
Lake Hospital System Inc. Family Medicine Past Accepting new patients
Lake Hospital System, Inc Family Medicine Past Accepting new patients
New Family Physicians Associates Inc Family Medicine Past Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

85 Poheganut Dr
Groton, CT 06340
Phone (860) 448-6303

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

510 5th Ave
Chardon, OH 44024
Phone (440) 285-9494

6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292

6990 Lindsay Dr
Ste 3
Mentor, OH 44060
Phone (440) 255-7938

7956 Tyler Blvd
Mentor on Lk, OH 44060
Phone (440) 255-4455

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

30498 Lake Shore Blvd
Willowick, OH 44095
Phone (440) 585-3322

Organizations & group practices 13

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.

View all 13

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1902867351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 MAPLE GRV",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440263449",
            "telephone_number": "440-376-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403252",
            "telephone_number": "440-255-4455",
            "fax_number": "440-255-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CT",
            "license": "82823",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-050840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "80507",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0660780",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "341425870042",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "264200000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "264200000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000339406",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6600162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.