Individual provider Active NPI

Robert L Harrell III, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Wellington, FL
National Provider Identifier
1831110402
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME134217 Issued in FL
Practice address
2211 Widener Ter
Wellington, FL 33414-6427
Phone
(561) 358-4282
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X ME134217 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 13334 NH
Hospitalist Physician 208M00000X ME134217 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME134217 FL Primary

Addresses

Primary practice location

2211 Widener Ter
Wellington, FL 33414-6427

Mailing address

2211 Widener Ter
Wellington, FL 33414-6427
Phone (561) 358-4282

Other identifiers 2

IdentifierTypeStateIssuer
30206170MedicaidNH
432337699MedicaidME

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
I20180820003698 FL Practitioner - Thoracic SurgeryPractitioner - General Surgery 7618870965 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Duke University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Lee Harrell III MD PCGroup PAC ID 4082007182, 5 clinicians

Practice addresses (Care Compare)

2211 Widener Ter
Wellington, FL 33414-6427
Phone (561) 358-4282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134217FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Multispecialty Group PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 6, 2025 Accepting new patients
Accountable Critical Care LLC CurrentSince Aug 2, 2019 Accepting new patients
Robert Lee Harrell III MD PC Surgical Critical Care CurrentSince Jan 3, 2022 Accepting new patients
Alliance Family Physicians, PA CurrentSince Aug 6, 2025 Accepting new patients
Florida Rehab Specialists, PLLC Hospitalist CurrentSince Apr 20, 2025 Accepting new patients
Wentworth Douglass Physician Corporation Past Accepting new patients

Locations (25 of 94)

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 364-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451

10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601

22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120

8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032

4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700

4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151

1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081

6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558

817 NW 56th Ter
Ste C
Gainesville, FL 32605

1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461

4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981

227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601

124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100

23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801

8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705

1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466

701 Medical Ct E
Inverness, FL 34452
Phone (352) 860-0200

5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

12645 Salina Dr
Jacksonville, FL 32246
Phone (904) 787-8150

Interoperability endpoints

  • Direct secure messaging: robert.harrell@hca5.eclinicaldirectplus.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1831110402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 WIDENER TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146427",
            "telephone_number": "561-358-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 WIDENER TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146427",
            "telephone_number": "561-358-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME134217",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NH",
            "license": "13334",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME134217",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME134217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206170",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432337699",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.