Robert B Contrucci, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

OS4786 Issued in FL

Practice address

10071 Pines Blvd
Suite C
Pembroke Pines, FL 33024-6181

Phone

(954) 437-5333

Fax

(954) 437-6252

NPI assigned

Sep 8, 2005

Last updated

Nov 17, 2023By the provider in NPPES

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

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

Specialty

Otolaryngology

Education

Philadelphia College of Osteopathic Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert B Contrucci D O P aGroup PAC ID 1052346673, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Robert B Contrucci D O P a

  dba Southern Ear Nose Throat and Sinus Center

  • Otolaryngology Physician
  • Pembroke Pines, FL
  • NPI 1407981830
  Medicare reassignment Care Compare group NPD
• Sleep Snoring & Sinus Clinic of Florida, LLC

  • Otolaryngology Physician
  • Plantation, FL
  • NPI 1407424096
  Medicare reassignment NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1104810811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 PINES BLVD",
            "address_2": "SUITE C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246181",
            "telephone_number": "954-437-5333",
            "fax_number": "954-437-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 PINES BLVD",
            "address_2": "SUITE C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246181",
            "telephone_number": "954-437-5333",
            "fax_number": "954-437-6252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 NW 82nd Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333241835",
            "country_code": "US",
            "telephone_number": "305-432-3440",
            "fax_number": "786-946-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRUCCI",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "OS4786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Contigo Healthcare LLC
• Continual Care Facility
• Continucare Medical Center
• Continucare Medical Management, Inc.
• Nuria Contreras, ARNP
• Conviva Medical Center Management LLC
• Conviva Medical Center Management LLC
• Conviva Medical Center Management LLC
• Tangela Cooke
• Brian Cooper

• Otolaryngology Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.