Active NPI
Robert L Reeder, M.D.
- Internal Medicine Physician
- Fort Lauderdale, FL
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(5) exclusion effective May 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0007163
- Practice address
- 1130 Bayview Dr
Ft Lauderdale, FL 33304-2505 - Phone
- (954) 764-8911
- Fax
- (954) 764-2150
- NPI assigned
- Jul 24, 2006
- Last updated
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0007163 | FL | Primary |
Addresses
Primary practice location
1130 Bayview Dr
Ft Lauderdale, FL 33304-2505
Mailing address
1130 Bayview Dr
Ft Lauderdale, FL 33304-2505
Phone (954) 764-8911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0007163 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reeder Medical Group | Current | Accepting new patients | |
| Broward General Ekg Associates, Inc | Past | Accepting new patients | |
| North Broward Hospital District | Past | Accepting new patients |
Locations
1400 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 581-4111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intermediate Emergency Medical Technician
- Fort Lauderdale, FL
- NPI 1154626778
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1164798245
-
- Cardiovascular Disease Physician
- Fort Lauderdale, FL
- NPI 1124063326
-
dba BGMC Cancer Center
- Pediatric Hematology & Oncology Physician
- Fort Lauderdale, FL
- NPI 1881622850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1245252469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 BAYVIEW DR",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333042505",
"telephone_number": "954-764-8911",
"fax_number": "954-764-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 BAYVIEW DR",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333042505",
"telephone_number": "954-764-8911",
"fax_number": "954-764-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0007163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.