Individual provider Active NPI

Robert J Pearl, D.O.

  • Gynecology Physician
  • Coral Springs, FL
National Provider Identifier
1083683122
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
OS10079 Issued in FL
Practice address
1725 N University Dr
Suite 440
Coral Springs, FL 33071-6089
Phone
(954) 755-1300
Fax
(954) 755-7799
NPI assigned
Mar 14, 2006
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X OS10079 FL Primary

Addresses

Primary practice location

1725 N University Dr
Suite 440
Coral Springs, FL 33071-6089

Mailing address

1725 N University Dr
Suite 440
Coral Springs, FL 33071-6089
Phone (954) 755-1300

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
I20080528000657 FL Practitioner - Obstetrics/Gynecology 6709892706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

1725 N University Dr
440 Kerry Kuhn MD LLC
Coral Springs, FL 33071-6000
Phone (954) 755-1300

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10079FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Feb 10, 2011 Accepting new patients
St Cloud Physician Management LLC Gynecology Past Accepting new patients
Planned Parenthood of Florida, Inc. Past Accepting new patients
Allara Medical Group PA Gynecology Past Accepting new patients
Planned Parenthood of Florida, Inc. Past Accepting new patients

Locations

1725 N University Dr
Ste 440
Coral Springs, FL 33071
Phone (954) 752-1020

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: robert.pearl@335000925634564.direct.elationemr.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1083683122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR",
            "address_2": "SUITE 440",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716089",
            "telephone_number": "954-755-1300",
            "fax_number": "954-755-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR",
            "address_2": "SUITE 440",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716089",
            "telephone_number": "954-755-1300",
            "fax_number": "954-755-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "OS10079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.