Individual provider Active NPI

Keith Robinson, MD

  • Pulmonary Disease Physician
  • Oakland Park, FL
National Provider Identifier
1407828015
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 86367 Issued in FL
Practice address
1164 E Oakland Park Blvd
Suite 102
Oakland Park, FL 33334-2707
Phone
(954) 900-5635
Fax
(954) 990-7292
NPI assigned
Feb 7, 2006
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A83200 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME86367 FL
Pulmonary Disease Physician 207RP1001X A83200 CA
Pulmonary Disease Physician 207RP1001X ME 86367 FL Primary

Addresses

Primary practice location

1164 E Oakland Park Blvd
Suite 102
Oakland Park, FL 33334-2707

Mailing address

1164 E Oakland Park Blvd
Suite 102
Oakland Park, FL 33334-2707
Phone (954) 900-5635

Other identifiers 1

IdentifierTypeStateIssuer
276264100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86367FLMDCritical Care Medicine (Internal Medicine) Physician
ME 86367FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kejaro MD, PLLC Critical Care Medicine CurrentSince Aug 4, 2009 Accepting new patients
Travel Medicine and Infections Inc Pulmonary Disease Past Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients
Critical Care Medicine LLC Pulmonary Disease Past Accepting new patients
Nuview Telehealth, LLC Critical Care Medicine Past Accepting new patients
Head and Neck Treatment Center of Miami Inc Past Accepting new patients

Locations

5333 N Dixie Hwy
Ste 201
Oakland Park, FL 33334
Phone (305) 491-3440

Organizations & group practices 6

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1407828015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 E OAKLAND PARK BLVD",
            "address_2": "SUITE 102",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342707",
            "telephone_number": "954-900-5635",
            "fax_number": "954-990-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 E OAKLAND PARK BLVD",
            "address_2": "SUITE 102",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342707",
            "telephone_number": "954-900-5635",
            "fax_number": "954-990-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A83200",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME86367",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A83200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 86367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276264100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.