Individual provider Active NPI

Robert L Reeder, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1245252469
Registry record updated Oct 2, 2018
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0007163 Issued in FL
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0007163FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reeder Medical Group Current Accepting new patients
Broward General Ekg Associates, Inc PastSince Jul 1, 2006 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.

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

Verify at the official NPI Registry.