Active NPI
Robert Scott Ondracek, DO
- Internal Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- UO4960
- Practice address
- 6000 49TH St N
St Petersburg, FL 33709-2114 - Phone
- (727) 521-5057
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS17710 | FL | |
| Neurocritical Care Physician | 2084A2900X | OS17710 | FL | |
| Internal Medicine Physician | 207R00000X | UO4960 | FL | Primary |
Addresses
Primary practice location
6000 49TH St N
St Petersburg, FL 33709-2114
Mailing address
1505 SW Archer Rd
Gainesville, FL 32608-1134
Phone (352) 265-0111
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
- Lake Erie College of Osteopathic Medicine, Erie, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000
9330
54 Medical Center of Trinity
Trinity, FL 34655-1808
Phone (727) 845-9115
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO4960 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1205880945
-
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1104277557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081134",
"telephone_number": "352-265-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 49TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092114",
"telephone_number": "727-521-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONDRACEK",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "OS17710",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "FL",
"license": "OS17710",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "UO4960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.