Provider Demographics
NPI:1750322947
Name:CONTI, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:CONTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11995 SINGLETREE LN STE 500
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5349
Mailing Address - Country:US
Mailing Address - Phone:952-595-1301
Mailing Address - Fax:612-294-4903
Practice Address - Street 1:11995 SINGLETREE LN STE 500
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-5349
Practice Address - Country:US
Practice Address - Phone:952-595-1301
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18184012085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000505264009OtherBLUE SHIELD OF WESTERN NY
1608499OtherINDEPENDANT HEALTH
300050432OtherRAILROAD MEDICARE
NY01524029Medicaid
1606531OtherINDEPENDANT HEALTH
NYP00923952OtherRAILROAD MEDICARE
00010176130OtherFIDELIS
00025585701OtherUNIVERA
140852FFOtherPREFERRED CARE
NYCRDRA1818401OtherWORKERS COMPENSATION
NYP00926459OtherRAILROAD MEDICARE
000525931002OtherBLUE SHIELD OF WESTERN NY
300122966OtherRAILROAD MEDICARE
00025585701OtherUNIVERA
300122966OtherRAILROAD MEDICARE
1606531OtherINDEPENDANT HEALTH
E51911Medicare UPIN
NYJ400043532Medicare PIN