Individual provider Active NPI

Robert L Worthington-Kirsch, M.D.

  • Vascular & Interventional Radiology Physician
  • New PT Richey, FL
National Provider Identifier
1013916436
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME154879 Issued in FL
Practice address
4619 Little Rd
New PT Richey, FL 34655-1329
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
Jul 18, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X ME154879 FL
Vascular & Interventional Radiology Physician 2085R0204X MD039322E PA
Vascular & Interventional Radiology Physician 2085R0204X D0066103 MD
Vascular & Interventional Radiology Physician 2085R0204X 25MA08762200 NJ
Vascular & Interventional Radiology Physician 2085R0204X MD60158521 WA
Vascular & Interventional Radiology Physician 2085R0204X G88795 CA
Vascular & Interventional Radiology Physician 2085R0204X ME154879 FL Primary

Addresses

Primary practice location

4619 Little Rd
New PT Richey, FL 34655-1329

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

3657 Madaca Ln
Tampa, FL 33618-2048
Phone (800) 991-6117

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110531000750 FL Practitioner - Interventional Radiology 1951407675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Massachusetts Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wazni PLLCGroup PAC ID 2860629466, 30 clinicians

Practice addresses (Care Compare)

4215 Burns Rd
Suite 260
Palm Beach Gardens, FL 33410-4627
Phone (800) 991-6117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal222
Leg revascularization (restoring blood flow)60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME154879FLMDPhlebology Physician
G88795CAMDVascular & Interventional Radiology Physician
MD039322EPAMDVascular & Interventional Radiology Physician
MD60158521WAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wazni, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Image Guided Surgery Associates, PC Vascular & Interventional Radiology PastSince Jul 18, 2002 Accepting new patients
James F McGuckin MD of MD PA Vascular & Interventional Radiology Past Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Phlebology Past Accepting new patients
Vascular Access Center of Atlanta LLC Vascular & Interventional Radiology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Imaging Professionals of Pennsylvania PC Past Accepting new patients
Vascular Access Center of Trenton LLC Vascular & Interventional Radiology PastSince Feb 1, 2017 Accepting new patients
Montgomery Radiology Associates, PC Vascular & Interventional Radiology Past Accepting new patients
Greentree Radiology Associates PC Past Accepting new patients
Colorado Medical Group, PLLC PastSince Jan 1, 2025 Accepting new patients
Greentree Radiology Associates PC Past Accepting new patients
James F McGuckin MD Inc Vascular & Interventional Radiology Past Accepting new patients
Vascular Access Center of Washington DC, LLC Vascular & Interventional Radiology PastSince Jul 1, 2013 Accepting new patients

Locations

1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145

18167 US Highway 19 N
Ste 100
Clearwater, FL 33764
Phone (727) 233-4177

2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703

3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990

4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918

4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410

295 NW Peacock Blvd
Port St Lucie, FL 34986

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

3657 Madaca Ln
Tampa, FL 33618

3609 Madaca Ln
Tampa, FL 33618
Phone (720) 253-3071

8029 Cooper Creek Blvd
Ste 104
University Park, FL 34201

16553 S US Highway 301
Wimauma, FL 33598

Networks

  • FL HMO
  • FL PPO

Interoperability endpoints

  • Direct secure messaging: robert.worthingtonkirsch@uvvc.eclinicaldirectplus.com

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1013916436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 LITTLE RD",
            "city": "NEW PT RICHEY",
            "state": "FL",
            "postal_code": "346551329",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3657 Madaca Ln",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182048",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHINGTON-KIRSCH",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME154879",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD039322E",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0066103",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA08762200",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD60158521",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G88795",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME154879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New PT Richey, FL

Sources for this page

Verify at the official NPI Registry.