Individual provider Active NPI

Robert James Decker Jr., D.O

  • Urgent Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1326470139
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OS16668 Issued in FL
Practice address
7751 Kingspointe Pkwy
Orlando, FL 32819-6500
Phone
(407) 581-9672
NPI assigned
Aug 2, 2013
Last updated
May 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OS16668 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 25MB09780600 NJ
Family Medicine Physician 207Q00000X 012197 OH

Addresses

Primary practice location

7751 Kingspointe Pkwy
Orlando, FL 32819-6500

Mailing address

10033 Oak Quarry Dr
Orlando, FL 32832-5645
Phone (570) 574-0978

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
I20200520000366 FL Practitioner - Family PracticePractitioner - Sports Medicine 8325318553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carespot of Orlando Hsi Urgent Care LLCGroup PAC ID 8921372558, 55 clinicians

Practice addresses (Care Compare)

7751 Kingspointe Pkwy
Suite 114
Orlando, FL 32819-6502
Phone (407) 581-9672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012197OHMDFamily Medicine Physician
OS16668FLMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Carespot of Orlando Hsi Urgent Care LLC Family Medicine CurrentSince May 11, 2020 Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

7751 Kingspointe Pkwy
Ste 114
Orlando, FL 32819
Phone (407) 581-9672

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1326470139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10033 OAK QUARRY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325645",
            "telephone_number": "570-574-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 KINGSPOINTE PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328196500",
            "telephone_number": "407-581-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "OS16668",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09780600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "012197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.