Robert Cordero, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME58086 Issued in FL

Practice address

1592 South State Road 15-a
Deland, FL 32720

Phone

(386) 734-2931

Fax

(386) 734-2939

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Halifax Healthcare Systems Inc

  dba HHCSI Halifax Family Health Center

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment NPD
• Ophthalmic Partners of Florida PA

  dba Central Florida Retina

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1740387968
  NPD (past)
• Volusia Center for Surgical Excellence, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Edgewater, FL
  • NPI 1821655259
  NPD (past)
• Volusia Optical, L.L.C.

  • Eyewear Supplier
  • Orange City, FL
  • NPI 1497139885
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1861484206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 SOUTH STATE ROAD 15-A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-734-2931",
            "fax_number": "386-734-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 SOUTH STATE ROAD 15-A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-734-2931",
            "fax_number": "386-734-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME58086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "12724X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12724",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "180012438",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cora Rahabilitation
• Cora Rehabilitation
• Khristian Corbett
• Corbyons & Donohoe Surgical Associates MD PA
• Thomas Marc Corbyons, MD
• Luis D Correa Luna, MD
• Mario J Corro, M.D.
• Julie L Cortese, ARNP
• Felicia Cottrell, CRNA
• Courage X, Inc (Majors Medical Supply)

• Ophthalmology Physician in Deland, FL
• Providers in Deland, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.

Verify at the official NPI Registry.