Individual provider

Robert Kistner, M.D.

Surgery Physician Specialist Medicare enrolled

Robert Kistner, M.D. is a Surgery Physician in Bullhead City, AZ, registered under NPI 1063404572. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2755 SILVER CREEK RD STE 111, Bullhead City, AZ 86442. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2755 SILVER CREEK RD STE 111, Bullhead City, AZ 86442 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
35056109 OH Surgery Physician primary
AZ20804 AZ Specialist

Licences are recorded in 2 states: OH, AZ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
8921028424

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Arizona and Ohio. The practice address on file is in Bullhead City, AZ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona practice address
Licence
AZ20804
Specialty
Specialist
Verify with the AZ board →
OH Ohio
Licence
35056109
Specialty
Surgery Physician
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgery covers

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
Allopathic & Osteopathic Physicians Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208600000X Surgery Physician 35056109 OH primary
174400000X Specialist AZ20804 AZ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063404572 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 19, 2005
Last updatedMar 13, 2024
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 2755 SILVER CREEK RD STE 111
Bullhead City, AZ 86442
(928) 704-7163
Mailing address PO BOX 50970
Phoenix, AZ 85076
Other identifiers 0491638 (OH)
130170 (AZ)
This record was updated on Mar 13, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1063404572 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 4 0 4 5 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 8 0 8 5 5

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063404572?
NPI 1063404572 is the National Provider Identifier assigned to Robert Kistner, M.D. in Bullhead City, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery Physician cover?
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical…
How do I contact Robert Kistner, M.D.?
The phone number on file with NPPES is (928) 704-7163, last updated Mar 13, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Robert Kistner, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063404572 a valid number?
Yes. 1063404572 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.