Individual provider Active NPI

Robert C Spurny Sr., MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Mesa, AZ
National Provider Identifier
1942232798
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
15705 Issued in AZ
Practice address
6402 E Superstition Springs Blvd Ste 209
Mesa, AZ 85206-4393
Phone
(480) 981-3317
Fax
(480) 981-5308
NPI assigned
Jul 6, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15705 AZ
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 15705 AZ Primary

Addresses

Primary practice location

6402 E Superstition Springs Blvd Ste 209
Mesa, AZ 85206-4393

Mailing address

6402 E Superstition Springs Blvd Ste 209
Mesa, AZ 85206-4393
Phone (480) 981-3317

Other identifiers 1

IdentifierTypeStateIssuer
AZ0155330OtherAZBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000200 AZ Practitioner - Ophthalmology 0345263588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6402 E Superstition Springs Blvd
Suite 209
Mesa, AZ 85206-4393
Phone (480) 981-3317

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Glaucoma Inc Glaucoma Specialist CurrentSince Jan 1, 2006 Accepting new patients
Southwestern Glaucoma Consultants Ophthalmology Past Accepting new patients

Locations

1440 S Country Club Dr
Ste 24
Mesa, AZ 85210
Phone (480) 981-3317

6402 E Superstition Springs Blvd
Ste 104
Mesa, AZ 85206
Phone (480) 396-9339

6402 E Superstition Springs Blvd
Ste 209
Mesa, AZ 85206
Phone (480) 981-3317

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1942232798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 209",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064393",
            "telephone_number": "480-981-3317",
            "fax_number": "480-981-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 209",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064393",
            "telephone_number": "480-981-3317",
            "fax_number": "480-981-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURNY",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "15705",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "AZ",
            "license": "15705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0155330",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.