ROBERT GLENN ALLEN, M.D. — NPI 1386655116 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine in RAPID CITY, SD)

CMS-1500 Box 24J / 33a • NPI

1386655116

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2083A0100X (CMS 84)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine

Box 32 Service Location & ZIP+4

4454 W GLEN PL, RAPID CITY, SD, 57702-6852

✓ 9-Digit EDI 837 ZIP+4 (57702-6852)

Practice Phone & Referral Fax

(605) 343-1911

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1386655116 (ROBERT GLENN ALLEN, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1386655116` (NPI-1 Individual Practitioner)
Provider / Legal Name	ROBERT GLENN ALLEN, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine NUCC Code: `2083A0100X` (Preventive Medicine, Aerospace Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4454 W GLEN PL, RAPID CITY, SD, 57702-6852
Practice Telephone / Fax	Tel: (605) 343-1911
Administrative Mailing Address	4454 W GLEN PL, RAPID CITY, SD, 57702-6852
Enumeration & Last Sync	Enumerated: 2006-08-10 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4454 W GLEN PL, RAPID CITY, SD, 57702-6852

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Plain-English Taxonomy & CMS Crosswalk (2083A0100X)

What Does Taxonomy Code 2083A0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083A0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Aerospace Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ROBERT GLENN ALLEN, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207L00000X` — Anesthesiology Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: SD \| License: `2638` \| Primary: Secondary
`2083A0100X` — Preventive Medicine, Aerospace Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine	State: SD \| License: `2638` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ROBERT GLENN ALLEN, M.D. (NPI #1386655116)