Robert Obenrader, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103661 Issued in FL

Practice address

7544 Jacque Rd
Hudson, FL 34667-7162

Phone

(727) 697-2200

Fax

(727) 863-8774

NPI assigned

May 8, 2006

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Bone and Joint Disease, PA.Group PAC ID 1759276488, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

Merit-based Incentive Payment System (MIPS)

Final score

80.53 of 100Reported as group

Quality

63.31

Promoting interoperability

96

Improvement activities

40

Cost

69.62

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: robert.obenrader@centerforboneandjoint.directbygreenway.com
• Direct secure messaging: robenrader296203@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• The Center for Bone and Joint Disease, PA

  • Orthopaedic Surgery Physician
  • Hudson, FL
  • NPI 1437186236

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• The Center for Bone and Joint Disease, PA

  • Orthopaedic Surgery Physician
  • Lutz, FL
  • NPI 1811404155
  NPD

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

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1063461135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677162",
            "telephone_number": "727-697-2200",
            "fax_number": "727-863-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677162",
            "telephone_number": "727-697-2200",
            "fax_number": "727-863-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENRADER",
        "first_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293061700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novel Health Care Associates LLC
• Novel Healthcare Solutions LLC
• Thomas Paul Nowak, M.D.
• Daniel C Nwaozuru
• Emmanuelle O'Lavin, PHARMD
• Ocala Oncology Center PL
• Ocala Oncology Center PL
• Ocala Oncology Center PL
• Ali Odeh, DO
• Great Chibuike Ogujiofor, MD

• Physician Assistant in Hudson, FL
• Providers in Hudson, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.