Individual provider Active NPI

Robert Hawkins Vanfleet, M.D.

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1851398143
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME57390 Issued in FL
Practice address
7214 Wareham Dr
Tampa, FL 33647-1166
Phone
(813) 972-9456
NPI assigned
Jul 1, 2005
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G147136 CA
Diagnostic Radiology Physician 2085R0202X ME57390 FL Primary

Addresses

Primary practice location

7214 Wareham Dr
Tampa, FL 33647-1166

Mailing address

7214 Wareham Dr
Tampa, FL 33647-1166
Phone (813) 972-9456

Other identifiers 1

IdentifierTypeStateIssuer
058624200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.vanfleet@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031219000599 FL Practitioner - Diagnostic Radiology 0648178301 Reassigns benefits to 2 organizations
I20220216002353 CA Practitioner - Diagnostic Radiology 0648178301 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G147136CAMDDiagnostic Radiology Physician
ME57390FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Mar 1, 2022 Accepting new patients
Scripps Health Current Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 30, 2018 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
South Brandon Imaging LLC Diagnostic Radiology Past Accepting new patients
North Tampa Imaging LLC Diagnostic Radiology Past Accepting new patients
North Brandon Imaging LLC Diagnostic Radiology Past Accepting new patients
Sun City Imaging LLC Diagnostic Radiology Past Accepting new patients
Total Imaging-Parsons LLC Diagnostic Radiology Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5860

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: robert.vanfleet@direct.usc.edu
  • Direct secure messaging: rvanfleet37986@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1851398143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 WAREHAM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471166",
            "telephone_number": "813-972-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 WAREHAM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471166",
            "telephone_number": "813-972-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANFLEET",
        "first_name": "ROBERT",
        "middle_name": "HAWKINS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G147136",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME57390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058624200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.vanfleet@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1520 San Pablo St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.