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DR. ROBERT J. HRUSKOVICH MD NPI 1720078108


NPI Information

NPI: 1720078108
Provider Name: DR. ROBERT J. HRUSKOVICH, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: DOCTOR ON DEMAND PROFESSIONALS PC

PECOS Registration: Yes

Address:
211 N EDDY ST.
SOUTH BEND, IN
ZIP 46617
Phone: (574) 246-8816
Get Directions

DR. Robert J. Hruskovich, MD is a family medicine in South Bend, IN with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Robert J. Hruskovich, MD NPI is 1720078108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

211 N EDDY ST.
SOUTH BEND, IN
ZIP 46617-096
Phone: (574) 246-8816
Fax: (574) 204-6345

The NPI 1720078108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 9/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine52696SOUTH CAROLINANo
2207Q00000XFamily Medicine4301116232MICHIGANNo
3207Q00000XFamily MedicineMD046481DISTRICT OF COLUMBIANo
4207Q00000XFamily Medicine15405NORTH DAKOTANo
5207Q00000XFamily MedicineR9778TEXASNo
6207Q00000XFamily Medicine01043972AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200152430MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.