Individual provider Active NPI

Robert James Buck III, D.O.

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1881692838
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7810 Issued in FL
Practice address
1507 N John Young Pkwy
Kissimmee, FL 34741-3214
Phone
(855) 226-6633
Fax
(866) 285-7068
NPI assigned
Jul 13, 2005
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7810 FL Primary

Addresses

Primary practice location

1507 N John Young Pkwy
Kissimmee, FL 34741-3214

Mailing address

11881-A E Colonial Drive
Orlando, FL 32826-4723
Phone (407) 367-0064

Other practice location 1

11881-A E Colonial Drive
Orlando, FL 32826-4723
Phone (407) 367-0064 ext. 1212

Other practice location 2

6416 Old Winter Garden Rd
Orlando, FL 32835-1348
Phone (407) 447-7120

Other identifiers 3

IdentifierTypeStateIssuer
276736OtherFLWELLCARE
46011OtherFLBC/BS
270276200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051015000030 FL Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9234155698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
West Virginia School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Sports and Family Health Center PAGroup PAC ID 0840236907, 8 clinicians

Practice addresses (Care Compare)

1360 Saxon Blvd
Orange City, FL 32763-8416
Phone (386) 917-0074

2948 W Lake Mary Blvd
Adventhealth Centra Care Lake Mary
Lake Mary, FL 32746-3416
Phone (407) 732-7478

3005 Daniels Rd
Winter Garden, FL 34787-7002
Phone (407) 654-8186

309 W Bass St
Kissimmee, FL 34741-5011
Phone (407) 935-1192

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7810FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Sports and Family Health Center PA CurrentSince Nov 1, 2025 Accepting new patients
Central Florida Family Health Center Inc. Past Accepting new patients
Central Florida Family Health Center, Inc. Past Accepting new patients

Locations

309 W Bass St
Kissimmee, FL 34741
Phone (407) 935-1192

10829 Dylan Loren Cir
Orlando, FL 32825
Phone (407) 273-7373

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rbuckiii73341@adventhealth.direct-ci.com
  • Direct secure messaging: robertbuck@fsafhcp-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1881692838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11881-A E COLONIAL DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264723",
            "telephone_number": "407-367-0064",
            "fax_number": "407-322-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413214",
            "telephone_number": "855-226-6633",
            "fax_number": "866-285-7068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11881-A E COLONIAL DRIVE",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328264723",
            "country_code": "US",
            "telephone_number": "407-367-0064 x1212",
            "fax_number": "407-322-5309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6416 Old Winter Garden Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328351348",
            "country_code": "US",
            "telephone_number": "407-447-7120",
            "fax_number": "407-447-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "276736",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "46011",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270276200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.