Individual provider Active NPI

Robert C Urban Jr., M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • New Port Richey, FL
National Provider Identifier
1669440947
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
ME63362 Issued in FL
Practice address
5425 Water St
New Port Richey, FL 34652-4030
Phone
(727) 807-7090
Fax
(727) 807-7076
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME63362 FL
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X ME63362 FL Primary

Addresses

Primary practice location

5425 Water St
New Port Richey, FL 34652-4030

Mailing address

5425 Water St
New Port Richey, FL 34652-4030
Phone (727) 807-7090

Other identifiers 2

IdentifierTypeStateIssuer
18181OtherBCBS
371540000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000686 FL Practitioner - Ophthalmology 1557305414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5425 Water St
New Port Richey, FL 34652-4030
Phone (727) 807-7090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME63362FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Robert C Urban, Jr. M.D. LLC Ophthalmology CurrentSince Feb 28, 2007 Accepting new patients
Florida Health Sciences Center Inc Past Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
St Lukes Surgical Center Inc Ophthalmology Past Accepting new patients
St Lukes Cataract & Laser Institute Ophthalmology Past Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients

Locations

5425 Water St
New Prt Rchy, FL 34652
Phone (727) 807-7090

4439 Rowan Rd
New Prt Rchy, FL 34653
Phone (727) 807-7090

32615 US Highway 19 N
Ste 6
Palm Harbor, FL 34684
Phone (727) 772-7712

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rurban189288@orlandohealth.medalliesdirect.net

Organizations & group practices 7

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1669440947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 WATER ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524030",
            "telephone_number": "727-807-7090",
            "fax_number": "727-807-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 WATER ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524030",
            "telephone_number": "727-807-7090",
            "fax_number": "727-807-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME63362",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "FL",
            "license": "ME63362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371540000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.