Individual provider Active NPI

Robert V Klaasen, M.D.

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1760457329
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68935 Issued in TN
Practice address
29335 US Highway 19 N
Clearwater, FL 33761-2146
Phone
(727) 739-9736
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 68935 TN Primary

Addresses

Primary practice location

29335 US Highway 19 N
Clearwater, FL 33761-2146

Mailing address

4442B Lebanon Pike
Hermitage, TN 37076-1312
Phone (615) 852-5668

Other practice location 1

4442B Lebanon Pike
Hermitage, TN 37076-1312
Phone (615) 852-5668

Other identifiers 2

IdentifierTypeStateIssuer
080135192OtherINRAILROAD MEDICARE #
Q087409MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address robert.klaasen.2@29601.direct.athenahealth.com
Direct Messaging Address robert.klaasen.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 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
I20230905001421 TN Practitioner - Family Practice 7911052972 Reassigns benefits to 1 organization
I20260519003497 FL Practitioner - Family Practice 7911052972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians
Centerwell Senior Primary Care TN PCGroup PAC ID 6709261712, 39 clinicians

Practice addresses (Care Compare)

29335 US Hwy 19 N
Clearwater, FL 33761-2146
Phone (727) 202-5111

4442 B Lebanon Pike
Hermitage, TN 37076-1312
Phone (615) 852-5668

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Nashville, TN, CCN 447206
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68935TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care TN PC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC Family Medicine Current Accepting new patients
Major Hospital Past Accepting new patients
Centerwell Senior Primary Care TN PC Family Medicine Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

4442 Lebanon Pike
#B
Hermitage, TN 37076

4442B Lebanon Pike
Hermitage, TN 37076
Phone (615) 455-5627

1436 W Main St
Lebanon, TN 37087
Phone (615) 965-6108

4901 Nolensville Rd
Nashville, TN 37211
Phone (615) 760-5022

Organizations & group practices 6

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 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1760457329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442B LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761312",
            "telephone_number": "615-852-5668",
            "fax_number": "877-721-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29335 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612146",
            "telephone_number": "727-739-9736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4442B Lebanon Pike",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370761312",
            "country_code": "US",
            "telephone_number": "615-852-5668",
            "fax_number": "877-721-8404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAASEN",
        "first_name": "ROBERT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "68935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "080135192",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q087409",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.klaasen.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "29335 US Highway 19 N",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337612146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.klaasen.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4442B Lebanon Pike",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370761312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.