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DR. ROBERT KELVIN WOODRUFF D.P.M., P.A.
NPI 1336220177
Podiatrist - Foot Surgery in Jackson, MS

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
3855 AZALEA DRIVE, JACKSON, MS 39206(601) 366-7063(601) 366-7860 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Robert Kelvin Woodruff D.p.m., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT KELVIN WOODRUFF D.P.M., P.A. (NPI 1336220177) is an individual foot surgery provider in Jackson, Mississippi, licensed in Mississippi (80102) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1989).

NPPES Registry Identity

NPI1336220177
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. ROBERT KELVIN WOODRUFFCredential: D.P.M., P.A.
Location Address3855 AZALEA DRIVEJackson, MS 39206-5105
Mailing Address1055 Hubb RdBolton, MS 39041-8500 · (601) 506-7400
Phone(601) 366-7063
Fax(601) 366-7860
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1989
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 10, 2021
NPPES CertifiedSeptember 10, 2021
✔ NPI 1336220177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in MS · 80102
3855 AZALEA DRIVE, Jackson, MS 39206
Open in Google Maps ↗

Other Identifiers 1

Medicaid0010072MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Kelvin Woodruff D.p.m., P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436129327
PECOS Enrollment IDI20040728000993
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Robert Woodruff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Mississippi Civic Improvement Association, Inc.
1.8 mi
Federally Qualified Health Center (FQHC)
350 WOODROW WILSON BLVD
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 69 clinicians in this Medicare group
NPI 1427377266 (601) 362-5321
Dr Robert Woodruff DPM PA
12 mi
Foot Surgery
1055 HUBB RD
Bolton, MS 39041
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1083882385 (601) 506-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
380 services112 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
80 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
75 services26 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
45 services19 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Woodruff's NPI number?

The NPI number for Robert Woodruff is 1336220177. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Robert Woodruff located?

Robert Woodruff practices at 3855 Azalea Drive, Jackson, MS 39206. The listed phone number is (601) 366-7063.

What is Robert Woodruff's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Robert Woodruff enrolled in Medicare?

Yes. Robert Woodruff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robert Woodruff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Woodruff reassigns Medicare benefits to 2 organizations: Central Mississippi Civic Improvement Association, Inc. (Jackson, MS) and Dr Robert Woodruff DPM PA (Bolton, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Woodruff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Woodruff accept?

Health plans from Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Robert Woodruff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Woodruff was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.