Active NPI
Robert F Metnick, DPM
- Podiatrist
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2235
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45440 | Other | FL | BCBS GROUP ID |
| 390073801 | Medicaid | FL | |
| 340259200 | Medicaid | FL | |
| 480027518 | Other | FL | RAILROAD INDIVIDUAL ID |
| DE7435 | Other | FL | RAILROAD GROUP ID |
| 650859164 | Other | FL | TAX ID |
| 65246 | Other | FL | BCBS INDIVIDUAL ID |
| PO2235 | Other | FL | MEDICAL 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1369 |
| Removal or shaving of skin growth | 595 |
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KG Health Partners, Inc | Podiatrist | Current | Accepting new patients |
| On-Site Foot Care Inc | Podiatrist | Current | 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
- 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.
-
- Podiatrist
- Tarpon Springs, FL
- NPI 1689151011
-
- Podiatrist
- Clearwater, FL
- NPI 1487654042
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1285199299
-
- General Practice Physician
- Clearwater, FL
- NPI 1053853044
-
- Adult Health Nurse Practitioner
- Largo, FL
- NPI 1558970822
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.