DR. ROBERT JACKSON ATWATER (MD) – Anesthesiology Physician, NPI 1407839426

DR. ROBERT JACKSON ATWATER (MD) is a healthcare provider. based in Sunrise, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. ME72543 (FL). The NPI Number for DR. ROBERT JACKSON ATWATER (MD) is 1407839426

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT JACKSON ATWATER (MD)
NPI
1407839426
Phone
(954) 838-2371
Address
PO BOX 452198
Enumeration Date
23 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9549395000
Graduation Year
1993 (33 years ago)
PAC ID
4789787094
Group Practice PAC ID
3476446014
Professional Enrollment ID
I20111121000770
Address ID
FL323084697TA2629XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,343 ANESTHESIOLOGY in FL

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Provider Addresses for DR. ROBERT JACKSON ATWATER (MD)

  • The Box, Lipe Walking Street, Pattaya Beach, Satun Province, 0000, Thailand

    SUNRISE, FL 333452198

    Phone: (954) 838-2371

    Type: Mailing

  • Centerville Place, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323084356

    Phone: (850) 385-0144

    Fax: (850) 385-0146

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($34).

Total Amount

$55

General + Research + Ownership

Payments

2

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111121000770IAnesthesiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33345)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476446014View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

How do payers reference DR. ROBERT JACKSON ATWATER (MD)?
For DR. ROBERT JACKSON ATWATER (MD), use NPI 1407839426 as the unique 10-digit identifier.
Is DR. ROBERT JACKSON ATWATER (MD) shown as active in public data?
Registry records indicate DR. ROBERT JACKSON ATWATER (MD) maintains an active NPI.
What area of care is associated with DR. ROBERT JACKSON ATWATER (MD)?
DR. ROBERT JACKSON ATWATER (MD)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ROBERT JACKSON ATWATER (MD)?
Travel planning: use Sunrise, Florida as the reference point for DR. ROBERT JACKSON ATWATER (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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