1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ELIJAH ROBERTSON
NPI 1821685850
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since December 23, 2020PECOS Enrolled
900 N STONEWALL AVE APT A11, OKLAHOMA CITY, OK 73117(561) 632-6522 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elijah Robertson NPPES

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

ELIJAH ROBERTSON (NPI 1821685850) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821685850
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIJAH ROBERTSON
Location Address900 N STONEWALL AVE APT A11Oklahoma City, OK 73117-2819
Mailing Address900 N Stonewall Ave Apt A11Oklahoma City, OK 73117-2819
Phone(561) 632-6522
Sole ProprietorNo
Enumeration DateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
✔ NPI 1821685850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 N STONEWALL AVE APT A11, Oklahoma City, OK 73117
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah Robertson 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Robertson's NPI number?

The NPI number for Elijah Robertson is 1821685850. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Elijah Robertson located?

Elijah Robertson practices at 900 N Stonewall Ave Apt A11, Oklahoma City, OK 73117. The listed phone number is (561) 632-6522.

What is Elijah Robertson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elijah Robertson enrolled in Medicare?

Yes. Elijah Robertson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elijah Robertson was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.