Individual provider Active NPI

Robert Franklin Holub, MD

  • Family Medicine Physician
  • Lee, MA
National Provider Identifier
1982993234
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
258268 Issued in MA
Practice address
11 Quarry Hill Road
CHP - Lee Family Practice
Lee, MA 01238
Phone
(413) 243-0536
Fax
(413) 243-8040
NPI assigned
Apr 6, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101253834 VA
Family Medicine Physician 207Q00000X 274261 NY
Family Medicine Physician 207Q00000X 258268 MA Primary

Addresses

Primary practice location

11 Quarry Hill Road
CHP - Lee Family Practice
Lee, MA 01238

Mailing address

P.O. Box 30
Great Barrington, MA 01230
Phone (413) 528-9311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140805003196 MA Practitioner - Family Practice 2860626603 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274261NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Mar 1, 2021 Accepting new patients
Fairview Hospital CurrentSince Mar 1, 2021 Accepting new patients
Fairview Hospital CurrentSince Mar 1, 2021 Accepting new patients
Fairview Hospital CurrentSince Mar 1, 2021 Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

Interoperability endpoints

  • Direct secure messaging: robertholub@comsub.medalliesdirect.net

Organizations & group practices 4

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982993234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311",
            "fax_number": "413-644-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 QUARRY HILL ROAD",
            "address_2": "CHP - LEE FAMILY PRACTICE",
            "city": "LEE",
            "state": "MA",
            "postal_code": "01238",
            "telephone_number": "413-243-0536",
            "fax_number": "413-243-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLUB",
        "first_name": "ROBERT",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101253834",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "274261",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "258268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, MA

Sources for this page

Verify at the official NPI Registry.