Active NPI
Robert Lloyd Fortune, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Scottsdale, AZ
National Provider Identifier
1922098375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 13540
- Practice address
- 9290 E Thompson Peak Pkwy
Unit 257
Scottsdale, AZ 85255-4507 - Phone
- (480) 518-1922
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 13540 | AZ | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 13540 | AZ | Primary |
Addresses
Primary practice location
9290 E Thompson Peak Pkwy
Unit 257
Scottsdale, AZ 85255-4507
Mailing address
9290 E Thompson Peak Pkwy
Unit 257
Scottsdale, AZ 85255-4507
Phone (480) 518-1922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13540 | AZ | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortune Vein Clinic | Vascular Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Scottsdale, AZ
- NPI 1114912698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1922098375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9290 E THOMPSON PEAK PKWY",
"address_2": "UNIT 257",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554507",
"telephone_number": "480-518-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9290 E THOMPSON PEAK PKWY",
"address_2": "UNIT 257",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554507",
"telephone_number": "480-518-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNE",
"first_name": "ROBERT",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "13540",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AZ",
"license": "13540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.