Individual provider Active NPI

Robert Kawa, D.O.

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1750794616
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS13849 Issued in FL
Practice address
45 Summerlin LN Ste 107
St Augustine, FL 32095-8160
Phone
(904) 217-0280
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS13849 FL Primary

Addresses

Primary practice location

45 Summerlin LN Ste 107
St Augustine, FL 32095-8160

Mailing address

206 Horsetail CT
St Augustine, FL 32095-7609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161201001884 FL Practitioner - Family Practice 8325328693 Reassigns benefits to 2 organizations
I20181112001539 HI Practitioner - Family Practice 8325328693

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

400 Colonnade Dr
Suite 160
Ponte Vedra, FL 32081-6223
Phone (904) 824-1020

Hospital & facility affiliations

  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO 3902FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Specialists of Jacksonville CurrentSince Oct 1, 2016 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Aug 16, 2021 Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

400 Colonnade Dr
Ste 160
Ponte Vedra Beach, FL 32081
Phone (904) 824-1020

Interoperability endpoints

  • Direct secure messaging: rkawa28236@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 3

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 3

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1750794616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HORSETAIL CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320957609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SUMMERLIN LN STE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958160",
            "telephone_number": "904-217-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWA",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.