Individual provider Active NPI

Robert S Roberts, M.D.

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1396715744
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0041010 Issued in FL
Practice address
801 N Orange Ave Ste 600
Orlando, FL 32801-5202
Phone
(407) 841-2100
Fax
(407) 841-5705
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X ME0041010 FL
Orthopaedic Surgery Physician 207X00000X ME0041010 FL Primary

Addresses

Primary practice location

801 N Orange Ave Ste 600
Orlando, FL 32801-5202

Mailing address

801 N Orange Ave Ste 600
Orlando, FL 32801-5202
Phone (407) 841-2100

Other practice location 1

453 N Kirkman Rd
Suite 201
Orlando, FL 32811-1109
Phone (407) 292-8992

Other identifiers 1

IdentifierTypeStateIssuer
069105400MedicaidFL

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
I20090108000195 FL Practitioner - Orthopedic Surgery 8022181452 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41010FLMDInternal Medicine Physician
ME0041010FLMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Hand Surgery Associates PA Hand Surgery CurrentSince Jun 17, 2019 Accepting new patients
Klement Jungman & Varga DDS PA PastSince Nov 1, 1986 Accepting new patients

Locations

801 N Orange Ave
Ste 630
Orlando, FL 32801
Phone (407) 650-0051

7940 Via Dellagio Way
Ste 142
Orlando, FL 32819
Phone (407) 413-5998

801 N Orange Ave
Ste 600
Orlando, FL 32801

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1396715744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328015202",
            "telephone_number": "407-841-2100",
            "fax_number": "407-841-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328015202",
            "telephone_number": "407-841-2100",
            "fax_number": "407-841-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "453 N Kirkman Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328111109",
            "country_code": "US",
            "telephone_number": "407-292-8992",
            "fax_number": "407-292-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME0041010",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0041010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069105400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.