Active NPI
Robert Alan Aisenstat, M.D.
- Family Medicine Physician
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME116376
- Practice address
- 2485 Pinellas PL
The Villages, FL 32163-2703 - Phone
- (352) 674-1720
- Fax
- (352) 674-8920
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 100096 | MO | |
| Family Medicine Physician | 207Q00000X | ME116376 | FL | Primary |
Addresses
Primary practice location
2485 Pinellas PL
The Villages, FL 32163-2703
Mailing address
1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205142706 | Medicaid | MO | |
| HJ987Z | Other | FL | MEDICARE ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME116376 | FL | MD | Family Medicine Physician |
| 100096 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Family Medicine | Current | Accepting new patients |
Locations
511 Medical Plaza Dr
Ste 101
Leesburg, FL 34748
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
201 Lagrande Blvd
The Villages, FL 32159
Phone (352) 753-0606
Interoperability endpoints
- raisenstat346792@orlandohealth.medalliesdirect.net
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
Family Medicine
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1497798318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 LAKE SUMTER LNDG",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622699",
"telephone_number": "352-674-8905",
"fax_number": "352-674-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 PINELLAS PL",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321632703",
"telephone_number": "352-674-1720",
"fax_number": "352-674-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AISENSTAT",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "100096",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME116376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205142706",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "HJ987Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.