Individual provider Active NPI

Robert M Kabbes, OD

  • Optometrist
  • Springfield, OH
National Provider Identifier
1972505824
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3473 Issued in OH
Practice address
2315 Derr Rd
Springfield, OH 45503-2439
Phone
(937) 399-3700
Fax
(937) 399-3799
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3473 OH Primary

Addresses

Primary practice location

2315 Derr Rd
Springfield, OH 45503-2439

Mailing address

2315 Derr Rd
Springfield, OH 45503-2439
Phone (937) 399-3700

Other identifiers 2

IdentifierTypeStateIssuer
000000011186OtherANTHEM
0467516MedicaidOH

Other names 1

  • Dr. R Michael Kabbes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000069 OH Practitioner - Optometry 5890809347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3473OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Hypertension and Kidney Specialists LLC PastSince Nov 20, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: direct@rmichaelkabbesodspringfieldoh.compulinkdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1972505824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 DERR RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032439",
            "telephone_number": "937-399-3700",
            "fax_number": "937-399-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 DERR RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032439",
            "telephone_number": "937-399-3700",
            "fax_number": "937-399-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBES",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000011186",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0467516",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "KABBES",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.