Active NPI
Marian Giovani Irizarry Febres, MD
- Internal Medicine Physician
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME116480
- Practice address
- 23532 State Road 54
Lutz, FL 33559-6753 - Phone
- (813) 909-1600
- Fax
- (813) 909-1005
- NPI assigned
- Feb 22, 2012
- Last updated
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME116480 | FL | Primary |
Addresses
Primary practice location
23532 State Road 54
Lutz, FL 33559-6753
Mailing address
23532 State Road 54
Lutz, FL 33559-6753
Phone (813) 909-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107362900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23559 State Rd
Suite 54
Lutz, FL 33559-6862
Phone (813) 909-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME116480 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida LLC | Internal Medicine | Current | Accepting new patients |
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Centerwell Pharmacy, Inc. | Past | Accepting new patients | |
| Conviva Medical Center Management LLC | Internal Medicine | Past | Accepting new patients |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
23532 State Road 54
Lutz, FL 33559
Phone (813) 909-1600
23559 State Road 54
Lutz, FL 33559
Phone (772) 530-0010
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
Interoperability endpoints
- marian.irizarryfebres@wellmed.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optum
- General Practice Physician
- Tampa, FL
- NPI 1053384214
Internal Medicine
-
- Community/Retail Pharmacy
- Tampa, FL
- NPI 1013648195
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1568038529
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1003189036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23532 STATE ROAD 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335596753",
"telephone_number": "813-909-1600",
"fax_number": "813-909-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23532 STATE ROAD 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335596753",
"telephone_number": "813-909-1600",
"fax_number": "813-909-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY FEBRES",
"first_name": "MARIAN",
"middle_name": "GIOVANI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME116480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107362900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
- Integrative Care Services Florida LLC (Integrative Health)
- Intergr8Ted Services LLC (Intergr8ted Home Care)
- Internal Medicine Physicians Elitecare LLC
- Internal Medicine Physicians of Florida LLC
- Muhammad Iqbal, M.D.
- James M Irwin, MD
- Ismile Bright LLC (Lightning Orthodontics)
- IV Harmony Clinic LLC
- J Medical LLC
- Ja Home Care Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.