Individual provider Active NPI

Rubaiya Mallay, D.O.

  • Rheumatology Physician
  • Largo, FL
National Provider Identifier
1023268687
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS10496 Issued in FL
Practice address
13644 Walsingham Road
Largo, FL 33774
Phone
(727) 595-2519
Fax
(727) 595-3872
NPI assigned
Sep 19, 2008
Last updated
Mar 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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 OS10496 FL Primary

Addresses

Primary practice location

13644 Walsingham Road
Largo, FL 33774

Mailing address

13644 Walsingham Road
Largo, FL 33774
Phone (727) 595-2519

Other identifiers 11

IdentifierTypeStateIssuer
59127324OtherFLUHC EMPIRE PLAN
591273247OtherFLTRICARE STANDARD
4039402OtherMAIL HANDLERS BENEFIT PLAN (MHBP)
2447922OtherFLFIRST HEALTH AND COVENTRY NATIONAL NETWORK
362294OtherFLAVMED
6913529OtherFLCIGNA PPO/HMO, OPEN ACCESS AND GREATWEST
14A3EOtherFLOUT OF STATE BLUE CROSS BLUE SHIELD
14A3EOtherFLBCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE PPO/HMO, GO BLUE
9521897OtherFLAETNA, PPO, HMO, EPO, MANAGED CHOICE, MEDICARE HMO/PPO
006502500MedicaidFL
14A3EOtherFLBCBS BLUE OPTIONS, BLUE CHOICE, FEDERAL BLUE, FLORIDA STATE, TRADITIONAL BCBS

Other names 1

  • Dr. Rubaiya Talukdar Former name

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
I20120619000659 FL Practitioner - RheumatologyPractitioner - Internal Medicine 7113181371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suncoast Internal Medicine Consultants, P.aGroup PAC ID 4981679677, 4 clinicians

Practice addresses (Care Compare)

13644 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 595-2519

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Internal Medicine Consultants, P.a. CurrentSince Aug 1, 2012 Accepting new patients

Locations

13644 Washington Rd
Largo, FL 33774
Phone (727) 595-2519

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1023268687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13644 WALSINGHAM ROAD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33774",
            "telephone_number": "727-595-2519",
            "fax_number": "727-595-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13644 WALSINGHAM ROAD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33774",
            "telephone_number": "727-595-2519",
            "fax_number": "727-595-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAY",
        "first_name": "RUBAIYA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "OS10496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC EMPIRE PLAN",
            "identifier": "59127324",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE STANDARD",
            "identifier": "591273247",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL HANDLERS BENEFIT PLAN (MHBP)",
            "identifier": "4039402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH AND COVENTRY NATIONAL NETWORK",
            "identifier": "2447922",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "362294",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO/HMO, OPEN ACCESS AND GREATWEST",
            "identifier": "6913529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF STATE BLUE CROSS BLUE SHIELD",
            "identifier": "14A3E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE PPO/HMO, GO BLUE",
            "identifier": "14A3E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, PPO, HMO, EPO, MANAGED CHOICE, MEDICARE HMO/PPO",
            "identifier": "9521897",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006502500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE OPTIONS, BLUE CHOICE, FEDERAL BLUE, FLORIDA STATE, TRADITIONAL BCBS",
            "identifier": "14A3E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBAIYA",
            "last_name": "TALUKDAR",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.