Individual provider Active NPI

Robert C Nucci, MD

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
National Provider Identifier
1851453609
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME0066521 Issued in FL
Practice address
6322 Gunn Hwy
Tampa, FL 33625-4122
Phone
(813) 864-3998
Fax
(813) 864-3141
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME0066521 FL Primary

Addresses

Primary practice location

6322 Gunn Hwy
Tampa, FL 33625-4122

Mailing address

6322 Gunn Hwy
Tampa, FL 33625-4122
Phone (813) 864-3998

Other identifiers 1

IdentifierTypeStateIssuer
376633100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066521FLMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Splinter Anesthesia Services, LLC Past Accepting new patients
Nucci Medical Clinic, LLC Orthopaedic Surgery of the Spine Past Accepting new patients
Orthopedic Specialists, LLP Orthopaedic Surgery of the Spine PastSince Aug 15, 2001 Accepting new patients

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1851453609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254122",
            "telephone_number": "813-864-3998",
            "fax_number": "813-864-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254122",
            "telephone_number": "813-864-3998",
            "fax_number": "813-864-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCCI",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME0066521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376633100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.