DR. ROBERT E KEARNEY MD
NPI 1174537559
Surgery - Plastic and Reconstructive Surgery in San Diego, CA

Q: What is Robert Kearney's NPI number?

The NPI number for Robert Kearney is 1174537559. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Robert Kearney's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Robert Kearney was last updated on February 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 28, 2006PECOS Enrolled

4520 EXECUTIVE DR, #150, SAN DIEGO, CA 92121(858) 677-9352(858) 677-9356 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Robert E Kearney Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT E KEARNEY MD (NPI 1174537559) is an individual plastic and reconstructive surgery provider in San Diego, California, licensed in California (687026) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174537559

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. ROBERT E KEARNEYCredential: MD

Location Address4520 EXECUTIVE DR, #150San Diego, CA 92121-3018

Mailing Address4520 Executive Dr, #150San Diego, CA 92121-3018 · (858) 677-9352 · Fax (858) 677-9356

Phone(858) 677-9352

Fax(858) 677-9356

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateFebruary 8, 2011

✔ NPI 1174537559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in CA · 687026

Definition

A surgeon who specializes in plastic and reconstructive surgery.

4520 EXECUTIVE DR, San Diego, CA 92121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert E Kearney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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