ROBERT W. DODSON (MD) – Colon & Rectal Surgery Physician, NPI 1649217613

ROBERT W. DODSON (MD) is a healthcare provider. based in Urbana, Illinois. specializing in Colon & Rectal Surgery Physician. They hold the professional credentials MD. They hold a License No. 2004016430 (MO). The NPI Number for ROBERT W. DODSON (MD) is 1649217613

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT W. DODSON (MD)
NPI
1649217613
Phone
(217) 383-6792
Address
611 W PARK ST
Enumeration Date
31 May 2006
Last Update Date
25 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184382440
Graduation Year
1986 (40 years ago)
PAC ID
9133119514
Group Practice PAC ID
6406039882
Professional Enrollment ID
I20041112000649
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for ROBERT W. DODSON (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    URBANA, IL 618012500

    Phone: (217) 383-6792

    Fax: (217) 383-4868

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040517000970IFamily PracticeILTBD
I20041112000649IFamily PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406039882View full group profile
NameSpecialtyState
-WV
Family PracticeDE
Internal MedicineNY
General PracticeFL
Nurse PractitionerPA
General SurgeryAL
General PracticeNY
General PracticeOH
Nurse PractitionerKY
Family Practice, Peripheral Vascular DiseaseOH

Reviews

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Frequently asked questions

How do I look up ROBERT W. DODSON (MD) by NPI?
Use NPI 1649217613 when you need to reference ROBERT W. DODSON (MD) in forms, claims, or directories.
Is ROBERT W. DODSON (MD)'s NPI currently valid?
The extract we use shows ROBERT W. DODSON (MD) as active.
What does ROBERT W. DODSON (MD) treat or focus on?
Patients typically see ROBERT W. DODSON (MD) under the specialty Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ROBERT W. DODSON (MD)?
The snapshot lists Urbana, Illinois for ROBERT W. DODSON (MD); download NPPES for the complete set.
How can I contact ROBERT W. DODSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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