Individual provider Active NPI

Robert G Testa, D.P.M.

  • Podiatrist
  • Westlake, OH
National Provider Identifier
1700825080
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-1969-T Issued in OH
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0327598MedicaidOH
0520305MedicaidOH

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1969OHMDChiropractor

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.

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

Verify at the official NPI Registry.