Active NPI
Robert Jay Heller, MD
- Surgery Physician
- University Park, FL
National Provider Identifier
1497765580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME33832
- Practice address
- 7308 Barclay CT
University Park, FL 34201-2340 - Phone
- (863) 272-4118
- NPI assigned
- Aug 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 01061233A | IN | |
| Surgery Physician | 208600000X | ME33832 | FL | Primary |
Addresses
Primary practice location
7308 Barclay CT
University Park, FL 34201-2340
Mailing address
7308 Barclay CT
University Park, FL 34201-2340
Phone (863) 272-4118
Other practice location 1
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (941) 342-1100
Other practice location 2
12880 Commodity Pl
Tampa, FL 33626-3101
Phone (813) 343-5500 ext. 278
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100270190C | Medicaid | IN | |
| 200529510 | Medicaid | IN |
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 |
|---|---|---|---|
| 01061233A | IN | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartow Hma Physician Management, LLC | Surgery | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497765580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7308 BARCLAY CT",
"city": "UNIVERSITY PARK",
"state": "FL",
"postal_code": "342012340",
"telephone_number": "863-272-4118",
"fax_number": "443-262-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7308 BARCLAY CT",
"city": "UNIVERSITY PARK",
"state": "FL",
"postal_code": "342012340",
"telephone_number": "863-272-4118"
}
],
"practiceLocations": [
{
"address_1": "5731 Bee Ridge Rd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342335056",
"country_code": "US",
"telephone_number": "941-342-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12880 Commodity Pl",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336263101",
"country_code": "US",
"telephone_number": "813-343-5500 x278",
"fax_number": "813-343-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HELLER",
"first_name": "ROBERT",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IN",
"license": "01061233A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME33832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270190C",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200529510",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in University Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.