Robert T Light, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME166560 Issued in FL

Practice address

455 W Warren Ave
Longwood, FL 32750-4038

Phone

(407) 262-2220

Fax

(407) 834-5011

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA, FL2 enrollments

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 2

Specialty

Psychiatry

Education

University of Virginia School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hampton Roads Behavioral Health,PCGroup PAC ID 9739070780, 7 clinicians

Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
• Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
• Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
• Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score

79.91 of 100Reported as group

Quality

61.18

Promoting interoperability

100

Improvement activities

40

Cost

71.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hamptonroadsbehavioralhealth.robertlight@126906.advancedmd-direct.com

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.

• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  Medicare reassignment Care Compare group NPD
• Hampton Roads Behavioral Health,PC

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1356394696
  Medicare reassignment Care Compare group NPD
• First Hospital Corporation of Virginia Beach

  • Psychiatric Hospital
  • Virginia Beach, VA
  • NPI 1326071093
  Medicare reassignment NPD
• Portsmouth Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, VA
  • NPI 1134199193
  Medicare reassignment NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD
• Portsmouth Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1144604877
  NPD
• Portsmouth Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1073833760
  NPD
• Jewish Family Service of Tidewater, Incorporated

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1124088638
  NPD (past)
• Jewish Family Service of Tidewater, Incorporated

  • Home Health Agency
  • Virginia Beach, VA
  • NPI 1790791176
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohi West, Inc

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1154399749
  Care Compare affiliation
• Ohmh, LLC

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1033937883
  Care Compare affiliation
• Ohsrh, LLC

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307
  Care Compare affiliation
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation
• Osceolasc LLC

  • General Acute Care Hospital
  • Saint Cloud, FL
  • NPI 1164478442
  Care Compare affiliation

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1881677391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W WARREN AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504038",
            "telephone_number": "407-262-2220",
            "fax_number": "407-834-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W WARREN AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504038",
            "telephone_number": "407-262-2220",
            "fax_number": "407-834-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Little Creek Road",
            "address_2": "Ste205 Hampton Toads Behavioral Health PC",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23518",
            "country_code": "US",
            "telephone_number": "757-587-4744",
            "fax_number": "757-587-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "ROBERT",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101233539",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME166560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010004586",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121445800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "136804",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyra Liebertz
• Lifecare of Central Florida, LLC
• Lifecare of Central Florida, LLC
• Lifespace Communities Inc
• Lifespace Communities Inc
• Anthony C Lin, MD
• Christina Marie Lin
• Lynda Linde, CRNA
• Adam Lindo
• Kristyn Line, ARNP

• Psychiatry Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.