Robert E Share, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036076990 Issued in IL

Practice address

10400 Southwest Hwy
Lower Level
Chicago Ridge, IL 60415-1367

Phone

(708) 581-7308

Fax

(708) 581-7309

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA, CA2 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 2

Specialty

Radiation Oncology

Education

Chicago College of Medicine and Surgery, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen William Doggett MD PAGroup PAC ID 9830235217, 5 clinicians

Folsom DermatologyGroup PAC ID 1052576493, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Folsom Dermatology

  • Dermatology Physician
  • Folsom, CA
  • NPI 1669731899
  Medicare reassignment Care Compare group NPD
• Stephen William Doggett, M.D. PA

  • Radiation Oncology Physician
  • Newport Beach, CA
  • NPI 1427281666

  WA

  Medicare reassignment Care Compare group NPD
• Dermahealth Dermatology, PLLC

  • Dermatology Physician
  • Richland, WA
  • NPI 1881835171
  Medicare reassignment NPD
• Dermatology & Laser Center of San Diego

  • Dermatology Physician
  • Chula Vista, CA
  • NPI 1457396178
  Medicare reassignment NPD
• Compassionate Cancer Care Radiation Diagnostics Group Inc

  • Radiation Oncology Physician
  • Corona, CA
  • NPI 1720234081
  NPD (past)
• Grossmont Dermatology Medical Clinic

  • Procedural Dermatology Physician
  • La Mesa, CA
  • NPI 1194838441
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1932109337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 SOUTHWEST HWY",
            "address_2": "LOWER LEVEL",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151367",
            "telephone_number": "708-581-7308",
            "fax_number": "708-581-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 SOUTHWEST HWY",
            "address_2": "LOWER LEVEL",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151367",
            "telephone_number": "708-581-7308",
            "fax_number": "708-581-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARE",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036076990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076990",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUS GROUP NPI",
            "identifier": "1467471540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "02232706",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sawliha Seedat
• Senior Center Daycare, Inc.
• Laura Marie Seweryn, RD
• Birva K Shah, O.D.
• Nidhi J Shah
• Linas A. Sidrys, M.D.
• Ava Silva
• Rachel Marie Simoes, PA-S
• Kimberly Sisk
• Smiles Par Excellence PC

• Radiation Oncology Physician in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.

Verify at the official NPI Registry.