Individual provider Active NPI

Robert Jay Valins, D.P.M., P.A.

  • Foot Surgery Podiatrist
  • Zephyrhills, FL
National Provider Identifier
1255335089
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO1116 Issued in FL
Practice address
6326 Fort King Rd
Zephyrhills, FL 33542-2531
Phone
(813) 788-3600
Fax
(813) 788-7010
NPI assigned
Jun 9, 2005
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO1116 FL Primary

Addresses

Primary practice location

6326 Fort King Rd
Zephyrhills, FL 33542-2531

Mailing address

6326 Fort King Rd
Zephyrhills, FL 33542-2531
Phone (813) 788-3600

Other identifiers 1

IdentifierTypeStateIssuer
041304600MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000924 FL Practitioner - Podiatry 4183693021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PO1116FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Valins DPM PA Foot Surgery CurrentSince Mar 27, 1997 Accepting new patients
Tampa Bay Surgery Center Associates LTD PastSince May 12, 2005 Accepting new patients

Locations

10141 Big Bend Rd
Riverview, FL 33578
Phone (813) 302-8925

936 Cypress Village Blvd
Sun City Center, FL 33573

936 Cypress Village Blvd
Ste B
Sun City Center, FL 33573
Phone (813) 633-5900

2336 Crestover Ln
Ste 102
Wesley Chapel, FL 33544
Phone (813) 788-3600

6326 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 563-9308

Organizations & group practices 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1255335089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "813-788-3600",
            "fax_number": "813-788-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "813-788-3600",
            "fax_number": "813-788-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALINS",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO1116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041304600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.