Individual provider Active NPI

Robert F Metnick, DPM

  • Podiatrist
  • Tarpon Springs, FL
National Provider Identifier
1366441347
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2235 Issued in FL
Practice address
422 Appaloosa Rd
Tarpon Springs, FL 34688
Phone
(727) 455-4108
Fax
(727) 669-8417
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2235 FL Primary

Addresses

Primary practice location

422 Appaloosa Rd
Tarpon Springs, FL 34688

Mailing address

422 Appaloosa Rd
Tarpon Springs, FL 34688-9060
Phone (727) 455-4108

Other practice location 1

6021 142nd Ave N
Clearwater, FL 33760-2822
Phone (727) 796-6900

Other identifiers 8

IdentifierTypeStateIssuer
45440OtherFLBCBS GROUP ID
390073801MedicaidFL
340259200MedicaidFL
480027518OtherFLRAILROAD INDIVIDUAL ID
DE7435OtherFLRAILROAD GROUP ID
650859164OtherFLTAX ID
65246OtherFLBCBS INDIVIDUAL ID
PO2235OtherFLMEDICAL LICENSE

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
I20120702000327 FL Practitioner - Podiatry 7719878867 Reassigns benefits to 2 organizations
Practice locations: Sarasota, FL; Punta Gordon, FL; Port Charlotte, FL; Bradenton, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

422 Appaloosa Rd
Tarpon Springs, FL 34688-9060
Phone (727) 455-4108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1369
Removal or shaving of skin growth595

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
KG Health Partners, Inc Podiatrist CurrentSince Sep 19, 2016 Accepting new patients
On-Site Foot Care Inc Podiatrist CurrentSince Oct 1, 2018 Accepting new patients
Keys2Health LLC Past Accepting new patients
Community Health Solutions of America Pso, LLC Past Accepting new patients
Barbara Freeman Past Accepting new patients

Locations

13600 Icot Blvd
Bldg B
Clearwater, FL 33760
Phone (888) 290-6321

6021 142nd Ave N
Clearwater, FL 33760
Phone (727) 431-4850

13600 Icot Blvd
Bldg A
Clearwater, FL 33760
Phone (727) 796-6900

701 Enterprise Rd E
Ste 910
Safety Harbor, FL 34695
Phone (727) 796-6900

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1366441347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 APPALOOSA RD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346889060",
            "telephone_number": "727-455-4108",
            "fax_number": "727-669-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 APPALOOSA RD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34688",
            "telephone_number": "727-455-4108",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6021 142nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337602822",
            "country_code": "US",
            "telephone_number": "727-796-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METNICK",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "45440",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390073801",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340259200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD INDIVIDUAL ID",
            "identifier": "480027518",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP ID",
            "identifier": "DE7435",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "650859164",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID",
            "identifier": "65246",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PO2235",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.