Koorosh Tartibi

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86212038 Issued in FL

Practice address

8374 Rothman Aly
Orlando, FL 32827-7780

Phone

(407) 353-0408

NPI assigned

Mar 5, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• BSH Health PA

  • Registered Dietitian
  • New York, NY
  • NPI 1679303465

  FL

  Medicare reassignment
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1033917026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 ROTHMAN ALY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277780",
            "telephone_number": "407-353-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8374 ROTHMAN ALY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277780",
            "telephone_number": "407-353-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTIBI",
        "first_name": "KOOROSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "86212038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Tarkir
• Amanda Frances Tarkowski, M.D.
• Ivan Tarle, MD
• Kimberly Varner Tarman
• Sean Tarride, D.O
• Marie Teresa Tartibi, O.D.
• Gearlean Byrd Tartt, ED.D.
• Kathryn Tarulli, PA-C
• James Henry Tarver III, M.D.
• Racey Lashay Tarver, CPHT

• Registered Dietitian in Orlando, FL
• Providers in Orlando, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.