Individual provider Active NPI

Robert Raphael Tawil, M.D.

  • Specialist
  • Tampa, FL
National Provider Identifier
1669568143
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
59-2748330 Issued in FL
Practice address
3741 Neptune Street
Tampa, FL 33629-5118
Phone
(813) 254-4262
Fax
(813) 251-6415
NPI assigned
Oct 4, 2006
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 59-2748330 FL Primary

Addresses

Primary practice location

3741 Neptune Street
Tampa, FL 33629-5118

Mailing address

3741 Neptune Street
Tampa, FL 33629-5118
Phone (813) 254-4262

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
I20111110000734 FL Practitioner - Dermatology 7517131444 Reassigns benefits to 1 organization
Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indigo Dermatology LLCGroup PAC ID 9638469869, 4 clinicians

Practice addresses (Care Compare)

3741 Neptune St
Tampa, FL 33629-5118

3741 W Neptune St
Tampa, FL 33629-5118
Phone (813) 254-4262

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as individual
Quality
89.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of skin lesions923
Removal or shaving of skin growth1-10
Skin biopsy243

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Dermatology LLC Specialist CurrentSince Dec 14, 2025 Accepting new patients
Robert R. Tawil PastSince Oct 1, 1985 Accepting new patients

Locations

675 S Babcock St
Melbourne, FL 32901
Phone (321) 951-1010

3741 W Neptune St
Tampa, FL 33629
Phone (813) 254-4262

375 S 12th St
Ste 3
Tampa, FL 33602
Phone (813) 390-8831

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1669568143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 NEPTUNE STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295118",
            "telephone_number": "813-254-4262",
            "fax_number": "813-251-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 NEPTUNE STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295118",
            "telephone_number": "813-254-4262",
            "fax_number": "813-251-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWIL",
        "first_name": "ROBERT",
        "middle_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "59-2748330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.