Individual provider Active NPI

Robert M Homer, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1417940222
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME82474 Issued in FL
Practice address
7100 W Camino Real
Suite 302
Boca Raton, FL 33433-5510
Phone
(561) 392-3557
Fax
(561) 392-3587
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME82474 FL Primary

Addresses

Primary practice location

7100 W Camino Real
Suite 302
Boca Raton, FL 33433-5510

Mailing address

7050 W Palmetto Park Rd
Suite 15-195
Boca Raton, FL 33433-3426
Phone (561) 392-3557

Other identifiers 1

IdentifierTypeStateIssuer
265005300MedicaidFL

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
I20060707000066 FL Practitioner - Psychiatry 9133131378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Eastern Virginia Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7100 Camino Real
Boca Raton, FL 33433-5510
Phone (561) 392-3557

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82474FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Homer MD PA CurrentSince Apr 1, 2006 Accepting new patients

Locations

4800 N Federal Hwy
Ste 205A
Boca Raton, FL 33431
Phone (561) 368-3388

7100 Camino Real
Ste 302
Boca Raton, FL 33433
Phone (561) 300-4024

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

7050 W Palmetto Park Rd
Ste 15195
Boca Raton, FL 33433

Organizations & group practices 1

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1417940222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD",
            "address_2": "SUITE 15-195",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333426",
            "telephone_number": "561-392-3557",
            "fax_number": "561-392-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-392-3557",
            "fax_number": "561-392-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME82474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265005300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.