Active NPI
Robert G Peloquin, M.D.
- Anesthesiology Physician
- Sarasota, FL
National Provider Identifier
1467565747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME 87602
- Practice address
- 1261 S Tamiami TRL
Sarasota, FL 34239-2219 - Phone
- (941) 366-2360
- Fax
- (941) 366-3123
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME 87602 | FL | Primary |
Addresses
Primary practice location
1261 S Tamiami TRL
Sarasota, FL 34239-2219
Mailing address
1261 S Tamiami TRL
Sarasota, FL 34239-2219
Phone (941) 366-2360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00049126 | Other | FL | RAILROAD MEDICARE |
| 81366 | Other | FL | BLUE SHIELD OF FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 87602 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarasota Anesthesia | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245663509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1467565747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392219",
"telephone_number": "941-366-2360",
"fax_number": "941-366-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392219",
"telephone_number": "941-366-2360",
"fax_number": "941-366-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOQUIN",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME 87602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00049126",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF FL",
"identifier": "81366",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.