Active NPI
Robert J. Clement, M.D.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1487645396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME38133
- Practice address
- 9964 University Blvd
Orlando, FL 32817-1802 - Phone
- (407) 261-2954
- Fax
- (407) 261-2918
- NPI assigned
- Oct 31, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME38133 | FL | Primary |
Addresses
Primary practice location
9964 University Blvd
Orlando, FL 32817-1802
Mailing address
9964 University Blvd
Orlando, FL 32817-1802
Phone (407) 261-2954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257663500 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Past | Accepting new patients |
Locations
9964 University Blvd
Orlando, FL 32817
Phone (407) 261-2900
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
Interoperability endpoints
- rclement25610@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
Family Medicine
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1487645396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9964 UNIVERSITY BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171802",
"telephone_number": "407-261-2954",
"fax_number": "407-261-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9964 UNIVERSITY BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171802",
"telephone_number": "407-261-2954",
"fax_number": "407-261-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "ROBERT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME38133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257663500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.