Individual provider Active NPI

Robert W Tinsley III, DPM

  • Foot & Ankle Surgery Podiatrist
  • Viera, FL
National Provider Identifier
1467632687
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1521 Issued in FL
Practice address
7341 Office Park PL
Suite 103
Viera, FL 32940-8280
Phone
(321) 253-4973
Fax
(321) 253-4913
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO1521 FL Primary

Addresses

Primary practice location

7341 Office Park PL
Suite 103
Viera, FL 32940-8280

Mailing address

7341 Office Park PL
Suite 103
Viera, FL 32940-8280
Phone (321) 253-4973

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000334 FL Practitioner - Podiatry 4981678380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1521FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Viera Podiatry PA Foot & Ankle Surgery PastSince Jan 30, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rtinsley71481@epicdirect.hf.org

Organizations & group practices 2

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1467632687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7341 OFFICE PARK PL",
            "address_2": "SUITE 103",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408280",
            "telephone_number": "321-253-4973",
            "fax_number": "321-253-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 OFFICE PARK PL",
            "address_2": "SUITE 103",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408280",
            "telephone_number": "321-253-4973",
            "fax_number": "321-253-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viera, FL

Sources for this page

Verify at the official NPI Registry.