Roby Abraham
Individual provider Active NPI Certified Registered Nurse Anesthetist · Brooksville, FL
NPI 1679224877 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1679224877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 139310 (FL)
- Practice address
- 11375 Cortez Blvd
Brooksville, FL 34613-5409 - Phone
- (352) 596-6632
- NPI assigned
- Jan 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northstar Anesthesia of Florida LLC
St Lukes Cataract and Laser Institute
Zephyrhills Anesthesiology Associates LLC
Practice addresses (Care Compare)
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 688-8200
12900 Cortez Blvd
Suite 103
Brooksville, FL 34613-6897
Phone (352) 596-1145
17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (352) 796-5111
25232 State Rd
54 Suite 1
Lutz, FL 33559-6244
Phone (727) 943-3111
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Hospital & facility affiliations
- Tampa General Hospital Brooksville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220722000128 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4082095070 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139310 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Florida LLC | Current |
Accepting new patients | |
| St Lukes Cataract & Laser Institute | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145
25232 State Road 54
Ste 1
Lutz, FL 33559
Phone (727) 943-3111
25232 State Road 54
Lutz, FL 33559
Phone (727) 943-3111
43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020
Interoperability endpoints
- roby.abraham.p1@direct.stlukeseye.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 139310 | FL | Yes |
Addresses
Primary practice location
11375 Cortez Blvd
Brooksville, FL 34613-5409
Mailing address
4806 Foxshire Cir
Tampa, FL 33624-4310
Other providers in Brooksville, FL
- Muhammad Abdullah
- David Abergel
- Abide in Him, Inc
- Charles John Ablan
- Dayana Abraham
- Husam Ali Abuzarad
- Access 2 Health Care Physicians, LLC
- Access Health Care Physicians LLC
- Access Health Care Physicians LLC
- Access Health Care Physicians LLC
All providers in Brooksville, FL · Certified Registered Nurse Anesthetist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.