Dr Robert Polak, MD - Medicare General Surgery in Miamisburg, OH

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Dr Robert Polak, MD is a medicare enrolled "Surgery" physician in Miamisburg, Ohio. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 4000 Miamisburg Centerville Rd Ste 420, Miamisburg, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 439-4145.

Dr Robert Polak is licensed to practice in Ohio (license number 35.143165) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730599366.

Contact Information

Dr Robert Polak, MD
4000 Miamisburg Centerville Rd Ste 420,
Miamisburg, OH 45342-7615
(937) 439-4145
(937) 439-4371

Map and Direction




Physician's Profile

Full NameDr Robert Polak
GenderMale
SpecialityGeneral Surgery
Experience11 Years
Location4000 Miamisburg Centerville Rd Ste 420, Miamisburg, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Robert Polak attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1730599366
  • Provider Enumeration Date: 05/05/2014
  • Last Update Date: 08/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2567760796
  • Enrollment ID: I20210831002334

Medical Identifiers

Medical identifiers for Dr Robert Polak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730599366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery BP10049567 (Texas)Secondary
208600000XSurgery 35.143165 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kettering Medical Center - SycamoreMiamisburg, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936602

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Robert Polak allows following entities to bill medicare on his behalf.
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425
Entity NameWs Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225710668
PECOS PAC ID: 8224487905
Enrollment ID: O20231206002070

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Polak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Robert Polak, MD
1 Prestige Pl Ste 550,
Miamisburg, OH 45342-6115

Ph: (937) 762-1310		Dr Robert Polak, MD
4000 Miamisburg Centerville Rd Ste 420,
Miamisburg, OH 45342-7615

Ph: (937) 439-4145

Reviews and Comments


Surgery Doctors in Miamisburg, OH

Jessica Badillo, CST, CSFA
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342
Phone: 937-866-0551    
Dr. Paul Edward O'brien, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4000 Miamisburg Centerville Rd, Suite 435, Miamisburg, OH 45342
Phone: 937-434-3180    Fax: 937-434-9807

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.