Active NPI
Robert G Testa, D.P.M.
- Podiatrist
- Westlake, OH
National Provider Identifier
1700825080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-00-1969-T
- Practice address
- 29099 Health Campus Dr Ste 290
Westlake, OH 44145-5280 - Phone
- (440) 835-1999
- NPI assigned
- Jun 5, 2006
- Last updated
- Jun 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-00-1969-T | OH | Primary |
Addresses
Primary practice location
29099 Health Campus Dr Ste 290
Westlake, OH 44145-5280
Mailing address
29101 Health Campus Dr
Suite 200
Westlake, OH 44145-5270
Phone (440) 835-1999
Other practice location 1
27378 W Oviatt Rd
Bay Village, OH 44140-2139
Phone (440) 871-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0327598 | Medicaid | OH | |
| 0520305 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1969 | OH | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Westlake, OH
- NPI 1962549352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1700825080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29101 HEALTH CAMPUS DR",
"address_2": "SUITE 200",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455270",
"telephone_number": "440-835-1999",
"fax_number": "440-834-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29099 HEALTH CAMPUS DR STE 290",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455280",
"telephone_number": "440-835-1999"
}
],
"practiceLocations": [
{
"address_1": "27378 W Oviatt Rd",
"address_purpose": "LOCATION",
"city": "Bay Village",
"state": "OH",
"postal_code": "441402139",
"country_code": "US",
"telephone_number": "440-871-4700",
"fax_number": "440-871-4702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TESTA",
"first_name": "ROBERT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-00-1969-T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0327598",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0520305",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.