Individual provider Active NPI

Robert B Grabowski, MD

  • Family Medicine Physician
  • Lecanto, FL
National Provider Identifier
1447365242
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
206078 Issued in NY
Practice address
2804 W Marc Knighton CT
Lecanto, FL 34461-6300
Phone
(352) 746-8000
Fax
(352) 746-8002
NPI assigned
Aug 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 206078 NY Primary

Addresses

Primary practice location

2804 W Marc Knighton CT
Lecanto, FL 34461-6300

Mailing address

2804 W Marc Knighton CT
Lecanto, FL 34461-6300
Phone (352) 746-8000

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
I20200318001296 FL Order and Referring Only - Family PracticePractitioner - Family Practice 5193917060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chemung Medical Services PC Family Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
United Medical Associates,PLLC Past Accepting new patients
Jeremiah M Gelles, MD PC Past Accepting new patients

Organizations & group practices 4

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447365242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 W MARC KNIGHTON CT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616300",
            "telephone_number": "352-746-8000",
            "fax_number": "352-746-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 W MARC KNIGHTON CT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616300",
            "telephone_number": "352-746-8000",
            "fax_number": "352-746-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "206078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.