ROBERT NICHOLS
NPI 1366862716
Emergency Medicine in Kettering, OH

Q: What is Robert Nichols's NPI number?

The NPI number for Robert Nichols is 1366862716. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Q: What is Robert Nichols's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Nichols was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment

3525 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8839 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Robert Nichols NPPES

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

ROBERT NICHOLS (NPI 1366862716) is an individual emergency medicine provider in Kettering, Ohio, licensed in New Mexico (A-2077-17) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Santa Fe Medical Center, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2014).

NPPES Registry Identity

NPI1366862716

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameROBERT NICHOLS

Location Address3525 SOUTHERN BLVDKettering, OH 45429-1221

Mailing Address2024 S Baldwin Unit 165Mesa, AZ 85209-1712 · (480) 206-7914

Phone(937) 395-8839

Sole ProprietorYes

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2014

Enumeration DateApril 24, 2014

Last NPPES UpdateAugust 23, 2017

✔ NPI 1366862716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NM · A-2077-17

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3525 SOUTHERN BLVD, Kettering, OH 45429

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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 and accepts Medicare assignment

Robert Nichols is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395962773

PECOS Enrollment IDI20170916000343

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

45 services45 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

28 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Santa Fe Medical Center

Acute Care Hospitals · Santa Fe, NM

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320090

Location4801 Beckner RoadSanta Fe, NM 87507 · Santa Fe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STACEY LYNN POZNANSKI DO

Emergency Medicine