Active NPI
Robert Ulseth, MD
- Pain Medicine Physician
- Inverness, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME56394
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08559 | Other | FL | BLUE 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
Enrollment records 1
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
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 100
- Quality
- 77.4
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME56394 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Physician Providers Group PA | Specialist | Current | Accepting new patients |
| Physician Providers Group PA | Specialist | Current | 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
- rulseth297014@direct.tgh.org
- https://fhir4.healow.com/fhir/r4/EFCDCA/Endpoint/EFCDCA
- 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.
-
dba Comprehensive Pain Management Center
- Specialist
- Inverness, FL
- NPI 1720073216
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Anesthesiology Physician
- Inverness, FL
- NPI 1013966530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Citrus Hospital
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.