Individual provider Active NPI

Robert Philip Cotler, MD

  • Cardiovascular Disease Physician
  • Stuart, FL
National Provider Identifier
1477552578
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0038349 Issued in FL
Practice address
1027 SE Ocean Blvd
Stuart, FL 34996-2576
Phone
(772) 781-0222
Fax
(772) 781-0008
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0038349 FL Primary

Addresses

Primary practice location

1027 SE Ocean Blvd
Stuart, FL 34996-2576

Mailing address

1027 SE Ocean Blvd
Stuart, FL 34996-2576
Phone (772) 781-0222

Other identifiers 3

IdentifierTypeStateIssuer
ME38349OtherFLSTATE MEDICAL LICENSE
063591000MedicaidFL
65-0636090OtherFLTAX ID

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

LicenseStateTypeSpecialty
ME0038349FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Cardiology Group LLC Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients

Locations

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1027 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 781-0222

1027 SE Ocean Blvd
Ste 1B
Stuart, FL 34996

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1477552578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962576",
            "telephone_number": "772-781-0222",
            "fax_number": "772-781-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962576",
            "telephone_number": "772-781-0222",
            "fax_number": "772-781-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTLER",
        "first_name": "ROBERT",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0038349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME38349",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063591000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "65-0636090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.