Individual provider Active NPI

Robert Ulseth, MD

  • Pain Medicine Physician
  • Inverness, FL
National Provider Identifier
1043205305
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME56394 Issued in FL
Practice address
305 S Line Ave
Inverness, FL 34452-4605
Phone
(352) 344-4791
Fax
(352) 344-3822
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME56394 FL
Pain Medicine Physician 208VP0000X ME56394 FL Primary

Addresses

Primary practice location

305 S Line Ave
Inverness, FL 34452-4605

Mailing address

PO Box 1925
Lady Lake, FL 32158-1925
Phone (352) 553-4075

Other identifiers 1

IdentifierTypeStateIssuer
08559OtherFLBLUE SHIELD PROV #

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
I20040302000993 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 1254228430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Florida College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Providers Group PAGroup PAC ID 9931199940, 2 clinicians

Practice addresses (Care Compare)

305 S Line Ave
Inverness, FL 34452-4605
Phone (352) 344-4791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.7 of 100Reported as individual
Quality
77.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME56394FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Physician Providers Group PA Specialist CurrentSince Aug 16, 2020 Accepting new patients
Physician Providers Group PA Specialist CurrentSince May 21, 2003 Accepting new patients
P Kenneth Newman MD PA Past Accepting new patients

Locations

131 S Citrus Ave
Inverness, FL 34452
Phone (352) 344-6930

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

305 S Line Ave
Inverness, FL 34452
Phone (352) 344-4791

3120 SW 27th Ave
Ste 300
Ocala, FL 34471
Phone (352) 351-0006

1503 Buenos Aires Blvd
Ste 150
The Villages, FL 32159
Phone (352) 750-5882

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rulseth297014@direct.tgh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFCDCA/Endpoint/EFCDCA
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1043205305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1925",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581925",
            "telephone_number": "352-553-4075",
            "fax_number": "888-770-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524605",
            "telephone_number": "352-344-4791",
            "fax_number": "352-344-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULSETH",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME56394",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME56394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV #",
            "identifier": "08559",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.