Individual provider Active NPI

Robert Alan Kast, M.D., F.A.C.O.G.

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1881810653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 38405 Issued in FL
Practice address
21875 Cartagena Dr
Boca Raton, FL 33428-2857
Phone
(561) 479-4322
Fax
(561) 479-4300
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 38405 FL Primary

Addresses

Primary practice location

21875 Cartagena Dr
Boca Raton, FL 33428-2857

Mailing address

21875 Cartagena Dr
Boca Raton, FL 33428-2857
Phone (561) 479-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311001290 FL Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 9739485079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 38405FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881810653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21875 CARTAGENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282857",
            "telephone_number": "561-479-4322",
            "fax_number": "561-479-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21875 CARTAGENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282857",
            "telephone_number": "561-479-4322",
            "fax_number": "561-479-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAST",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.O.G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 38405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.