Individual provider Active NPI

Robert Lewis Smith Jr., M.D.

  • Obstetrics & Gynecology Physician
  • New Port Richey, FL
National Provider Identifier
1457370884
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0074072 Issued in FL
Practice address
9332 State Road 54
Ste 202
New Port Richey, FL 34655-1810
Phone
(727) 849-1659
Fax
(727) 842-3627
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0074072 FL Primary

Addresses

Primary practice location

9332 State Road 54
Ste 202
New Port Richey, FL 34655-1810

Mailing address

9332 State Road 54
Ste 202
New Port Richey, FL 34655-1810
Phone (727) 849-1659

Other identifiers 2

IdentifierTypeStateIssuer
E0127ZOtherFLMEDICARE
252741300SMedicaidFL

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
I20051114000152 FL Practitioner - Obstetrics/Gynecology 5799671319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Chicago College of Medicine and Surgery, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9332 State Rd
Suite 202
Trinity, FL 34655-1810
Phone (727) 849-1659

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074072FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Mar 14, 2024 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Women'S Care Center of Pasco Obstetrics & Gynecology CurrentSince Feb 1, 2000 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Mar 14, 2024 Accepting new patients
National Bladder Institute, Inc Obstetrics & Gynecology Past Accepting new patients
Encompass Healthcare Group, Inc. Past Accepting new patients
Premier Community Healthcare Group Inc Past Accepting new patients
Premier Community Healthcare Group, Inc. Past Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

5422 US Highway 19
New Pt Richey, FL 34652
Phone (727) 849-1591

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

9332 State Road 54
Ste 202
Trinity, FL 34655
Phone (727) 597-4441

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: robertsmith@wcc.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1457370884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54",
            "address_2": "STE 202",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-849-1659",
            "fax_number": "727-842-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54",
            "address_2": "STE 202",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-849-1659",
            "fax_number": "727-842-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0074072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E0127Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252741300S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.