Individual provider Active NPI

J Robin Atwell, MD

  • Urology Physician
  • Vero Beach, FL
National Provider Identifier
1174504914
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 0044212 Issued in FL
Practice address
1355 37TH St
Suite 303
Vero Beach, FL 32960-7321
Phone
(772) 569-7606
Fax
(772) 569-7628
NPI assigned
Nov 9, 2005
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME 0044212 FL Primary

Addresses

Primary practice location

1355 37TH St
Suite 303
Vero Beach, FL 32960-7321

Mailing address

1355 37TH St
Suite 303
Vero Beach, FL 32960-7321
Phone (772) 569-7606

Other identifiers 1

IdentifierTypeStateIssuer
044006000MedicaidFL

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
I20050310000633 FL Practitioner - Urology 3173576097

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0044212FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Robin Atwell,MD PA Urology CurrentSince Mar 1, 2005 Accepting new patients

Locations

1355 37th St
Ste 303
Vero Beach, FL 32960
Phone (772) 569-7606

Organizations & group practices 1

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1174504914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 37TH ST",
            "address_2": "SUITE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607321",
            "telephone_number": "772-569-7606",
            "fax_number": "772-569-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 37TH ST",
            "address_2": "SUITE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607321",
            "telephone_number": "772-569-7606",
            "fax_number": "772-569-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWELL",
        "first_name": "J",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 0044212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044006000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.