Active NPI
Robert Klein, MD
- Obstetrics & Gynecology Physician
- Pembroke Pines, FL
National Provider Identifier
1861455503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME41602
- Practice address
- 10067 Pines Blvd
Suite B
Pembroke Pines, FL 33024-6136 - Phone
- (954) 430-7777
- Fax
- (954) 430-3667
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME41602 | FL | Primary |
Addresses
Primary practice location
10067 Pines Blvd
Suite B
Pembroke Pines, FL 33024-6136
Mailing address
10067 Pines Blvd
Suite B
Pembroke Pines, FL 33024-6136
Phone (954) 430-7777
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00367 | Other | FL | WELLCARE |
| 00367 | Other | FL | HEALTHEASE |
| 067381100 | Medicaid | FL | |
| 4110330 | Other | FL | AETNA |
| 00367 | Other | FL | STAYWELL |
| 54315 | Other | FL | SFCN |
| 5461433 | Other | FL | CIGNA |
| D78855 | Other | FL | VISTA |
| 002125 | Other | FL | NHP |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060728000035 | FL | Practitioner - Obstetrics/Gynecology | 2961415484 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global OB/GYN Centers | Past | Accepting new patients | |
| Robert Klein OB/GYN, P.a. | Past | Accepting new patients | |
| Clearwater Imaging Associates PA | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- robert.klein.1@19294.direct.athenahealth.com
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.
-
- Specialist
- Pembroke Pines, FL
- NPI 1104879378
-
- Nuclear Radiology Physician
- Clearwater, FL
- NPI 1306860929
-
- Midwife
- Pembroke Pines, FL
- NPI 1881051480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1861455503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10067 PINES BLVD",
"address_2": "SUITE B",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246136",
"telephone_number": "954-430-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10067 PINES BLVD",
"address_2": "SUITE B",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246136",
"telephone_number": "954-430-7777",
"fax_number": "954-430-3667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME41602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "00367",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "00367",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067381100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4110330",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "00367",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFCN",
"identifier": "54315",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5461433",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "D78855",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "002125",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.