Individual provider Active NPI

Robert Ivan Kuskin, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1104890243
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006785 Issued in FL
Practice address
2920 University Pkwy
Sarasota, FL 34243-2412
Phone
(941) 351-2555
Fax
(941) 359-8657
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006785 FL Primary

Addresses

Primary practice location

2920 University Pkwy
Sarasota, FL 34243-2412

Mailing address

2920 University Pkwy
Sarasota, FL 34243-2412
Phone (941) 351-2555

Other identifiers 1

IdentifierTypeStateIssuer
55280OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000606 FL Practitioner - Chiropractic 9537123732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2920 University Pkwy
Sarasota, FL 34243-2412
Phone (941) 351-2555

7242 Beneva Rd
Sarasota, FL 34238-2806
Phone (941) 922-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006785FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
United Joint & Spine Center, LLC Chiropractor CurrentSince Oct 1, 2022 Accepting new patients
Back to Health Wellness Center,Inc Chiropractor CurrentSince Dec 15, 2004 Accepting new patients
Johnson Medical Center of Venice, Inc. Chiropractor PastSince Oct 1, 2001 Accepting new patients

Locations

2920 University Pkwy
Sarasota, FL 34243
Phone (941) 351-2555

7242 Beneva Rd
Sarasota, FL 34238
Phone (941) 922-4222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104890243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 UNIVERSITY PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432412",
            "telephone_number": "941-351-2555",
            "fax_number": "941-359-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 UNIVERSITY PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432412",
            "telephone_number": "941-351-2555",
            "fax_number": "941-359-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSKIN",
        "first_name": "ROBERT",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.