NPIMap

Individual provider Active NPI

Robert Bruce Rovner, M.D.

  • Family Medicine Physician
  • Steep Falls, ME
National Provider Identifier
1902912371
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
013868 Issued in ME
Practice address
1200 Pequawket Trail
Steep Falls, ME 04085-0039
Phone
(207) 675-3121
Fax
(207) 675-3396
NPI assigned
Aug 21, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 013868 ME Primary

Addresses

Primary practice location

1200 Pequawket Trail
Steep Falls, ME 04085-0039

Mailing address

PO Box 39
1200 Pequawket Trail
Steep Falls, ME 04085-0039
Phone (207) 675-3121

Other identifiers 1

IdentifierTypeStateIssuer
232480000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000851 ME Practitioner - Family Practice 5698703098 Practice locations: Steep Falls, ME

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Pequawket TRL
Steep Falls, ME 04085-5904
Phone (207) 675-3121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013868MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Senior Living of Bridgton Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1902912371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "address_2": "1200 PEQUAWKET TRAIL",
            "city": "STEEP FALLS",
            "state": "ME",
            "postal_code": "040850039",
            "telephone_number": "207-675-3121",
            "fax_number": "207-675-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PEQUAWKET TRAIL",
            "city": "STEEP FALLS",
            "state": "ME",
            "postal_code": "040850039",
            "telephone_number": "207-675-3121",
            "fax_number": "207-675-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVNER",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "013868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232480000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steep Falls, ME

Sources for this page

Verify at the official NPI Registry.