Individual provider Active NPI

Marian Giovani Irizarry Febres, MD

  • Internal Medicine Physician
  • Lutz, FL
National Provider Identifier
1003189036
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME116480 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
107362900MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131004000464 FL Practitioner - Internal Medicine 7911131982 Reassigns benefits to 1 organization

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
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

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

LicenseStateTypeSpecialty
ME116480FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Internal Medicine CurrentSince Sep 14, 2020 Accepting new patients
Optumcare Florida, LLC CurrentSince Sep 14, 2020 Accepting new patients
Centerwell Pharmacy, Inc. PastSince Jun 1, 2022 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine PastSince Jun 6, 2021 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.