Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Robert Polak, MD

Individual provider Surgery Physician · NPI 1730599366

Dr. Robert Polak, MD is a General Surgery in Miamisburg, Ohio. Graduated from Texas Tech University Health Science Center School of Medicine in 2014, 12 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio and Texas.

Years since qualifying
12
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
OH, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4000 Miamisburg Centerville Rd Ste 420
Miamisburg, OH 45342-7615
Phone: (937) 439-4145
Fax: (937) 439-4371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7740 Washington Village Dr Ste 110, Dayton, OH 45459-3994 — (937) 439-4145
  • 4000 Miamisburg Centerville Rd Ste 435, Miamisburg, OH 45342-7615 — (937) 433-5957

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35.143165 (OH)
Surgery Physician Taxonomy 208600000X · Licence BP10049567 (TX)

Record details

NPI number1730599366
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 5, 2014
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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