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ROBERT D CHILDERS MD NPI 1760477376


NPI Information

NPI: 1760477376
Provider Name: ROBERT D CHILDERS, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 14D0889480

Address:
400 MAPLE SUMMIT RD
STE 300
JERSEYVILLE, IL
ZIP 62052
Phone: (618) 498-8470
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Robert D Childers, MD is an urology in Jerseyville, IL with 43 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Robert D Childers, MD NPI is 1760477376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

400 MAPLE SUMMIT RD
STE 300
JERSEYVILLE, IL
ZIP 62052-028
Phone: (618) 498-8470
Fax: (618) 498-8488

The NPI 1760477376 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 CLIA number assigned to this NPI record is 14D0889480 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of temporary bladder catheter (HCPCS:51701)
  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

The enumeration date for this NPI number is 9/20/2005 and was last updated on 4/15/2024.


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
1208800000XUrology01093287AINDIANANo
2208800000XUrology036073486ILLINOISYes

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
1036073486MEDICAIDILLINOIS
22822OTHERMISSOURIBLUE CROSS BLUE SHIELD
30006000528OTHERILLINOISBLUE CROSS BLUE SHIELD
4340014235OTHERILLINOISRAILROAD MEDICARE

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: 4/28/2024

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.