Individual provider Active NPI

Tatiana P. Nagibina, M.D.

  • Rheumatology Physician
  • Palm Harbor, FL
National Provider Identifier
1003876756
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME81965 Issued in FL
Practice address
32615 US Highway 19 N
Suite 2
Palm Harbor, FL 34684-3176
Phone
(727) 789-2784
Fax
(727) 785-3537
NPI assigned
Mar 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME81965 FL Primary

Addresses

Primary practice location

32615 US Highway 19 N
Suite 2
Palm Harbor, FL 34684-3176

Mailing address

32615 US Highway 19 N Ste 2
Palm Harbor, FL 34684-3176
Phone (727) 789-2784

Other identifiers 1

IdentifierTypeStateIssuer
K3928OtherPTAN

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
I20040902001284 FL Practitioner - Rheumatology 1153396288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Center IncGroup PAC ID 9032154000, 4 clinicians

Practice addresses (Care Compare)

32615 US Hwy 19 N
Suite 2
Palm Harbor, FL 34684-3176
Phone (727) 789-2784

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (2 of 8)

OrganizationSpecialtyStatusNew patients
Arthritis Center Inc CurrentSince Jul 5, 2011 Accepting new patients
Tatiana Nagibina MD PA PastSince Aug 6, 2004 Accepting new patients

Locations

32615 US Highway 19 N
Ste 2
Palm Harbor, FL 34684
Phone (727) 784-2784

Networks

  • Optimum HealthCare HMO Network
  • FL PPO
  • FL HMO D-SNP
  • Freedom Health HMO Network
  • FL HMO C-SNP
  • FL HMO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1003876756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32615 US HIGHWAY 19 N STE 2",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843176",
            "telephone_number": "727-789-2784",
            "fax_number": "727-785-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32615 US HIGHWAY 19 N",
            "address_2": "SUITE 2",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843176",
            "telephone_number": "727-789-2784",
            "fax_number": "727-785-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGIBINA",
        "first_name": "TATIANA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-26",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME81965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K3928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.