Individual provider Active NPI

Robert J Kantor, MD

  • Infectious Disease Physician
  • Harrisburg, PA
National Provider Identifier
1972575561
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD017151E Issued in PA
Practice address
810 Sir Thomas CT Ste 101
Harrisburg, PA 17109-4839
Phone
(717) 614-4420
Fax
(717) 614-4421
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD017151E PA Primary

Addresses

Primary practice location

810 Sir Thomas CT Ste 101
Harrisburg, PA 17109-4839

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 614-4220

Other identifiers 1

IdentifierTypeStateIssuer
0006539650004MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rkantor22242@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040624000898 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 9537145388 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017151EPAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2017 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2017 Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

810 Sir Thomas Ct
#101
Harrisburg, PA 17109
Phone (717) 614-4420

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

205 S Front St
Harrisburg, PA 17104
Phone (717) 231-8360

205 S Front St
Fl 3
Harrisburg, PA 17104
Phone (717) 231-8343

Organizations & group practices 3

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1972575561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-614-4220",
            "fax_number": "717-614-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SIR THOMAS CT STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-614-4420",
            "fax_number": "717-614-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD017151E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006539650004",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkantor22242@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "810 Sir Thomas Ct Ste 101",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171094839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.