Active NPI
Robert A Oesterle, MD
- Endocrinology, Diabetes & Metabolism Physician
- St. Augustine, FL
National Provider Identifier
1053524116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME0067870
- Practice address
- 300 Health Park Blvd.
Suite 3008
St. Augustine, FL 32086-3703 - Phone
- (904) 810-2425
- Fax
- (904) 810-5321
- NPI assigned
- May 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME0067870 | FL | Primary |
Addresses
Primary practice location
300 Health Park Blvd.
Suite 3008
St. Augustine, FL 32086-3703
Mailing address
300 Health Park Blvd.
Suite 3008
St. Augustine, FL 32086-3703
Phone (904) 810-2425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252004400 | Medicaid | FL |
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
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2530 US Hwy 1 S
Saint Augustine, FL 32086-6194
Phone (904) 810-2425
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0067870 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Endocrinology, P.a. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
300 Health Park Blvd
Ste 3008
St Augustine, FL 32086
Phone (904) 810-2425
2530 US Highway 1 S
St Augustine, FL 32086
Phone (904) 810-2425
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- St Augustine, FL
- NPI 1467722025
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Palm Coast Parkway
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
dba HCA Florida Putnam Hospital
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1053524116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HEALTH PARK BLVD.",
"address_2": "SUITE 3008",
"city": "ST. AUGUSTINE",
"state": "FL",
"postal_code": "320863703",
"telephone_number": "904-810-2425",
"fax_number": "904-810-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HEALTH PARK BLVD.",
"address_2": "SUITE 3008",
"city": "ST. AUGUSTINE",
"state": "FL",
"postal_code": "320863703",
"telephone_number": "904-810-2425",
"fax_number": "904-810-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OESTERLE",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME0067870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252004400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St. Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.