NPIMap

Individual provider Active NPI

Robert Walter Ledbetter, DO

  • Cardiovascular Disease Physician
  • Trinity, FL
National Provider Identifier
1649224130
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS8973 Issued in FL
Practice address
3543 Little Rd
Suite a
Trinity, FL 34655-1811
Phone
(727) 848-6400
Fax
(727) 848-6200
NPI assigned
May 20, 2006
Last updated
Sep 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS8973 FL
Cardiovascular Disease Physician 207RC0000X OS8973 FL Primary

Addresses

Primary practice location

3543 Little Rd
Suite a
Trinity, FL 34655-1811

Mailing address

327 Fountainview Cir
Oldsmar, FL 34677-4645

Other identifiers 2

IdentifierTypeStateIssuer
P00638004OtherRAILROAD MEDICARE
81515OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000663 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General Practice 4587637467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cardiology Associates LLCGroup PAC ID 7214029305, 3 clinicians

Practice addresses (Care Compare)

3543 Little Rd
Suite a
Trinity, FL 34655-1814
Phone (727) 848-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS8973FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiology Associates LLC Cardiovascular Disease CurrentSince Aug 1, 2008 Accepting new patients
Trinity Cardiac Cath Lab LLC Cardiovascular Disease CurrentSince Jan 3, 2016 Accepting new patients
Carlton ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Usha Agarwal MD PA PastSince Aug 1, 2008 Accepting new patients
Inpatient Services of Florida PA Past Accepting new patients

Locations

2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358

19409 Shumard Oak Dr
Unit 101
Land O Lakes, FL 34638
Phone (727) 375-1548

11308 State Road 54
Ste A
Trinity, FL 34655
Phone (727) 639-3710

3543 Little Rd
Trinity, FL 34655
Phone (727) 848-6400

3543 Little Rd
Ste A
Trinity, FL 34655
Phone (727) 848-6400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEJAA
  • Direct secure messaging: robert.ledbetter.1@12703.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1649224130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 FOUNTAINVIEW CIR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 LITTLE RD",
            "address_2": "SUITE A",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551811",
            "telephone_number": "727-848-6400",
            "fax_number": "727-848-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "ROBERT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS8973",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS8973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00638004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "81515",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.