Russell L. Robinson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME115188 Issued in FL

Practice address

316 Del Prado Blvd S
Cape Coral, FL 33990-1710

Phone

(239) 314-1616

Fax

(239) 479-5202

NPI assigned

Oct 24, 2006

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Medical University of South Carolina College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Family Health Centers of Southwest Florida IncGroup PAC ID 3173432085, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Centers of Southwest Florida Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Myers, FL
  • NPI 1326090390
  Medicare reassignment Care Compare group NPD
• Summerville Internal Medicine

  • Internal Medicine Physician
  • Summerville, SC
  • NPI 1578603056
  NPD (past) Authorized official
• Family Health Centers of Southwest Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cape Coral, FL
  • NPI 1417377813
  NPD
• Family Health Centers of Southwest Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Myers, FL
  • NPI 1356853154
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1003999715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 VICTORIA AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013414",
            "telephone_number": "239-344-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901710",
            "telephone_number": "239-314-1616",
            "fax_number": "239-479-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "FL",
            "postal_code": "323474115",
            "country_code": "US",
            "telephone_number": "850-838-2030",
            "fax_number": "850-838-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 W Main St",
            "address_purpose": "LOCATION",
            "city": "Mayo",
            "state": "FL",
            "postal_code": "320664127",
            "country_code": "US",
            "telephone_number": "386-294-1226",
            "fax_number": "386-294-4218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 SW Highway 351",
            "address_purpose": "LOCATION",
            "city": "Cross City",
            "state": "FL",
            "postal_code": "326283827",
            "country_code": "US",
            "telephone_number": "352-498-3349",
            "fax_number": "352-498-0716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "RUSSELL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008996700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robins Roost Wellness LLC
• Blake Austin Robinson, PA
• Edward Charles Robinson, RPH
• Elizabeth Robinson, MSN,NEA-BCAPRN,FNP-C
• Martin Craig Robinson, PT
• Andrea Valeria Robles, PA-C
• Armando Carlos Roca Socarras Sr., NP
• Lianny Roche
• Joanna Rose Rock, DO
• Kathleen Marie Rocuant, AUD

• Internal Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.