Active NPI
Robert Terry Kirschenbaum, D.P.M.
- Foot Surgery Podiatrist
- Altamonte Springs, FL
National Provider Identifier
1366448235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO967
- Practice address
- 840 N State Road 434
Ste B
Altamonte Springs, FL 32714-7014 - Phone
- (407) 869-7077
- Fax
- (321) 777-8302
- NPI assigned
- Jun 24, 2005
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | PO967 | FL | Primary |
Addresses
Primary practice location
840 N State Road 434
Ste B
Altamonte Springs, FL 32714-7014
Mailing address
840 N State Road 434
Ste B
Altamonte Springs, FL 32714-7014
Phone (407) 869-7077
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041256200 | Medicaid | FL | |
| 0955000001 | Other | FL | MEDICARE DMERC 2ND LOCAL |
| 1366448235 | Other | FL | MEDICARE DMERC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101229000098 | FL | Practitioner - Podiatry | 1355464264 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
840 N State Rd
434 Suite B
Altamonte Springs, FL 32714-7014
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Removal of tissue | 28 |
| Removal of skin lesions | 28 |
| Removal of nail tissue | 177 |
| Removal or shaving of skin growth | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert T Kirschenbaum, DPM, PA | Current | Accepting new patients | |
| Affordable Foot Clinic | Past | Accepting new patients |
Locations
840 N Sr 434
Ste B
Altamonte Springs, FL 32714
Phone (321) 600-4612
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Indian Harbour Beach, FL
- NPI 1346423472
FL
-
- Durable Medical Equipment & Medical Supplies
- Indian Harbour Beach, FL
- NPI 1023314788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1366448235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 N STATE ROAD 434",
"address_2": "STE B",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147014",
"telephone_number": "407-869-7077",
"fax_number": "321-777-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 N STATE ROAD 434",
"address_2": "STE B",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147014",
"telephone_number": "407-869-7077",
"fax_number": "321-777-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCHENBAUM",
"first_name": "ROBERT",
"middle_name": "TERRY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041256200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC 2ND LOCAL",
"identifier": "0955000001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "1366448235",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.