Active NPI
Robert William Hedrick, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1245752641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME145062
- Practice address
- 92 W Miller St
Orlando, FL 32806-2032 - Phone
- (407) 649-6876
- Fax
- (407) 872-0544
- NPI assigned
- Jul 7, 2017
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME145062 | FL | Primary |
Addresses
Primary practice location
92 W Miller St
Orlando, FL 32806-2032
Mailing address
750 Centerview Blvd
Kissimmee, FL 34741-7651
Phone (407) 850-3497
Other practice location 1
750 Centerview Blvd
Kissimmee, FL 34741
Phone (407) 850-3497
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250117002260 | FL | Order and Referring Only - Pediatric Medicine | 3072042191 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145062 | FL | MD | Pediatrics Physician |
Interoperability endpoints
- rhedrick82730@direct.nemours.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624147200000",
"number": "1245752641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 CENTERVIEW BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417651",
"telephone_number": "407-850-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062032",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544"
}
],
"practiceLocations": [
{
"address_1": "750 Centerview Blvd",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "34741",
"country_code": "US",
"telephone_number": "407-850-3497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEDRICK",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-07",
"last_updated": "2021-06-20",
"certification_date": "2021-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME145062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.