Individual provider Active NPI

Robert Alan Skotnicki, D.O.

  • Cardiovascular Disease Physician
  • The Villages, FL
National Provider Identifier
1215930334
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS13035 Issued in FL
Practice address
1400 N US Highway 441
Suite 810
The Villages, FL 32159-8975
Phone
(352) 674-8700
Fax
(352) 674-8714
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS004652L PA
Cardiovascular Disease Physician 207RC0000X OS13035 FL Primary

Addresses

Primary practice location

1400 N US Highway 441
Suite 810
The Villages, FL 32159-8975

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8820

Other practice location 1

2955 Brownwood Blvd
The Villages, FL 32163-2039
Phone (352) 674-8700

Other identifiers 2

IdentifierTypeStateIssuer
060012838OtherRAILROAD MEDICARE
0011376640001MedicaidPA

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
I20150413001836 FL Practitioner - Cardiovascular Disease (Cardiology) 9234106428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Practice addresses (Care Compare)

1400 N US Hwy 441
Suite 810
The Villages, FL 32159-8987
Phone (352) 674-8731

2955 Brownwood Blvd
Suite 403
The Villages, FL 32163-2040
Phone (352) 674-8700

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
91.57
Promoting interoperability
100
Improvement activities
40
Cost
85.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Villages Health System LLC CurrentSince May 1, 2015 Accepting new patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Current Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

2910 Brownwood Blvd
The Villages, FL 32163
Phone (352) 674-1790

2955 Brownwood Blvd
The Villages, FL 32163
Phone (352) 674-8700

779 Kristine Way
The Villages, FL 32163
Phone (352) 674-1700

1050 Old Camp Rd
Ste 100
The Villages, FL 32162
Phone (352) 674-1760

1400 N US Highway 441
Ste 810
The Villages, FL 32159
Phone (352) 674-8700

1020 Lake Sumter Lndg
The Villages, FL 32162

2485 Pinellas Pl
The Villages, FL 32163
Phone (352) 674-1720

1346 Dewey Dr
The Villages, FL 34762
Phone (352) 674-1780

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

2955 Brownwood Blvd
Ste 403
The Villages, FL 32163
Phone (352) 674-8700

1575 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 674-1740

Interoperability endpoints

  • Direct secure messaging: robert.skotnicki.1@18324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1215930334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8820",
            "fax_number": "352-674-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "SUITE 810",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-674-8700",
            "fax_number": "352-674-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Brownwood Blvd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321632039",
            "country_code": "US",
            "telephone_number": "352-674-8700",
            "fax_number": "352-674-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOTNICKI",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS004652L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS13035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060012838",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011376640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.