1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Family Medicine
  6. NPI Profile

MR. ROBERT MICAH PASTULA
NPI 1619408408
Family Medicine in Jacksonville, FL

Active since March 23, 2017PECOS Enrolled
2080 CHILD ST, JACKSONVILLE, FL 32214(239) 849-8386 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Aug 15, 2025, Jul 18, 2023 and 2 more (5 updates tracked since 2017).

About Mr. Robert Micah Pastula NPPES

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

MR. ROBERT MICAH PASTULA (NPI 1619408408) is an individual family medicine provider in Jacksonville, Florida, licensed in Virginia (0101272142) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1619408408
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. ROBERT MICAH PASTULA
Location Address2080 CHILD STJacksonville, FL 32214-5000
Mailing Address2080 Child St Dept 5000Jacksonville, FL 32214-5000
Phone(239) 849-8386
Sole ProprietorNo
Enumeration DateMarch 23, 2017
Last NPPES UpdateNovember 13, 20255 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1619408408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101272142✔ Licensed in FL · TME9
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2080 CHILD ST, Jacksonville, FL 32214
Open in Google Maps ↗

Secondary Practice Location 1

Location 1655 8th St WJacksonville, FL 32209 · Phone (239) 849-8386

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert Micah Pastula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

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 Pastula's NPI number?

The NPI number for Robert Pastula is 1619408408. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Robert Pastula located?

Robert Pastula practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (239) 849-8386.

What is Robert Pastula's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Pastula enrolled in Medicare?

Yes. Robert Pastula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Pastula was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.