Individual provider Active NPI

Robert John Morris II, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1720575905
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
156059 Issued in FL
Practice address
6800 N Dale Mabry Hwy Ste 186
Tampa, FL 33614-3998
Phone
(813) 889-3438
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 156059 FL Primary

Addresses

Primary practice location

6800 N Dale Mabry Hwy Ste 186
Tampa, FL 33614-3998

Mailing address

16813 Banner Shell PL
Wimauma, FL 33598-2505
Phone (813) 681-4164

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
I20241017000625 FL Practitioner - General Practice 7517213804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Florida State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Wound Care, LLCGroup PAC ID 7214394972, 21 clinicians

Practice addresses (Care Compare)

2203 N Lois Ave
Suite 814
Tampa, FL 33607-2388
Phone (813) 608-5633

Hospital & facility affiliations

  • Accomplished Home Care Home health agency, Tampa, FL, CCN 107120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156059FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care, LLC CurrentSince Aug 10, 2024 Accepting new patients

Locations

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

Interoperability endpoints

  • Direct secure messaging: robert.morris.ii.1@17484.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1720575905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16813 BANNER SHELL PL",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335982505",
            "telephone_number": "813-681-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 186",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143998",
            "telephone_number": "813-889-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "156059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.