DR. ROBERTO MOLINA M.D.
NPI 1437309044
General Practice in Ocala, FL
NPI Status: Active since September 19, 2008
- Individual
- Male
- Years of Experience 20
- General Practice
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROBERTO MOLINA
This page provides the complete NPI Profile along with additional information for Roberto Molina, a primary care provider established in Ocala, Florida with a medical specialization in General Practice and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1437309044 assigned on September 2008. The practitioner's primary taxonomy code is 208D00000X with license number ACN843 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1437309044
- Provider Name
- DR. ROBERTO MOLINA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1801 SE 32ND AVE OCALA, FL 34471
- Location Phone
- (352) 629-0137
- Mailing Address
- 2804 NW 162ND ST NEWBERRY, FL 32669
- Mailing Phone
- (787) 519-6540
- Medical School Name
- OTHER
- Graduation Year
- 2006
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-19-2008
- Last Update Date
- 09-14-2022
- Code Navigator
A primary care provider (PCP) like Roberto Molina sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ACN843
- License State
- FL
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 17319 (PR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Roberto Molina is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Roberto Molina is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3577628742
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221111000064
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 3 | 7 | 3 | 0 | 9 | 0 | 4 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 6 | 7 | 6 | 0 | 18 | 0 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 6 + 7 + 6 + 0 + 1 + 8 + 0 + 8 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1437309044 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1255317699 | MS. KAREN DOROTHY KUDIA Individual | Registered Nurse (Women's Health Care, Ambulatory) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1033174735 | ELIZABETH ANN MARKS DE MARTINO MSN, ARNP Individual | Nurse Practitioner (Pediatrics) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1821043076 | MRS. CAROL LEE BARTOLET RN Individual | Registered Nurse | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1124074737 | MRS. LAURA A DYNIA RN Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1548216633 | MRS. KATHY SUE COMBS R.N. Individual | Registered Nurse (Community Health) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1801842224 | DIANE LEE RUHALA Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1720034192 | MRS. TAMMY L CORLEY Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1063469138 | MRS. IVETTE MERCEDES KRUEGER RN Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1376582494 | MRS. CHRISTANEL BUTLER R.N. Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1740229228 | MS. MARLA JEAN KIRKALND-SULLIVAN RN Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1821037300 | MRS. MICHELLE FAUST CALDWELL R.N. Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1972542561 | MRS. JENNY ROSARIO MARTINEZ R.N. Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 639-0137 |
1629018742 | MS. SYBIL THEED DAVIS RN Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1114967528 | MRS. DOROTHY SABATINO ARNOLD RN Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1679513725 | MRS. ELSA M ECHEVARRIA R.N. Individual | Registered Nurse (Community Health) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1265473425 | MRS. DONNA JEANETTE ROGERS RN Individual | Registered Nurse (School) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1871535484 | LEONORA SCARFONE RN Individual | Registered Nurse (Community Health) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1063454627 | DIANN GRACE NAJAR R.N. Individual | Registered Nurse (Women's Health Care, Ambulatory) | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
1386686681 | MRS. PAMELA WILLIAM LPN Individual | Licensed Practical Nurse | 1801 SE 32ND AVE OCALA, FL 34471 (352) 368-2442 |
1467494724 | MS. YVONNE DENISE BUFFINGTON LPN Individual | Licensed Practical Nurse | 1801 SE 32ND AVE OCALA, FL 34471 (352) 629-0137 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437309044, enumerated in the NPI registry as an "individual" on September 19, 2008
The provider is located at 1801 Se 32nd Ave Ocala, Fl 34471 and the phone number is (352) 629-0137
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider has more than 20 years of experience.
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on September 19, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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