Individual provider Active NPI

Carrie Robart, PA

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1750900577
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113153 Issued in FL
Practice address
12950 Race Track Rd Ste 106
Tampa, FL 33626-1304
Phone
(813) 616-8810
Fax
(813) 616-8809
NPI assigned
Apr 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113153 FL Primary

Addresses

Primary practice location

12950 Race Track Rd Ste 106
Tampa, FL 33626-1304

Mailing address

12950 Race Track Rd Ste 106
Tampa, FL 33626-1304
Phone (813) 616-8810

Other practice location 1

13908 Lakeshore Blvd
Hudson, FL 34667-1492
Phone (727) 848-6400

Other practice location 2

3543 Little Rd Ste A
Trinity, FL 34655-1814
Phone (727) 848-6400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607000126 FL Practitioner - Physician Assistant 6002215498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memon Health Associates, LLCGroup PAC ID 7416257860, 9 clinicians

Practice addresses (Care Compare)

12950 Race Track Rd
Suite 106
Tampa, FL 33626-1304
Phone (813) 616-8810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113153FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiology Associates LLC CurrentSince Apr 1, 2020 Accepting new patients
Usha Agarwal MD PA PastSince Apr 1, 2020 Accepting new patients

Locations

3543 Little Rd
Ste A
Trinity, FL 34655
Phone (727) 848-6400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEJAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1750900577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 RACE TRACK RD STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261304",
            "telephone_number": "813-616-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 RACE TRACK RD STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261304",
            "telephone_number": "813-616-8810",
            "fax_number": "813-616-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13908 Lakeshore Blvd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346671492",
            "country_code": "US",
            "telephone_number": "727-848-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3543 Little Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551814",
            "country_code": "US",
            "telephone_number": "727-848-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBART",
        "first_name": "CARRIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-11",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.