Active NPI
Abduljabbar Al Tekreeti, MD
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME126405
- Practice address
- 3901 Coconut Palm Dr Ste 120
Tampa, FL 33619-8362 - Phone
- (813) 289-6597
- Fax
- (865) 769-3454
- NPI assigned
- May 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | ||
| Internal Medicine Physician | 207R00000X | ME126405 | FL | Primary |
Addresses
Primary practice location
3901 Coconut Palm Dr Ste 120
Tampa, FL 33619-8362
Mailing address
3901 Coconut Palm Dr Ste 120
Tampa, FL 33619-8362
Phone (813) 289-6597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043503436 | 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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1000
3030 W Bearss Ave
Tampa, FL 33618-1811
Phone (813) 968-8777
4600 SW
46TH BLDG 200
Ocala, FL 34474-5783
Phone (352) 291-3000
4600 SW 46TH CT
Ocala, FL 34474-5783
Phone (352) 291-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126405 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida Inc | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Current | Accepting new patients |
Locations
2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3901 Coconut Palm Dr
Ste 120
Tampa, FL 33619
Phone (813) 289-6597
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
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.
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043503436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 COCONUT PALM DR STE 120",
"city": "TAMPA",
"state": "FL",
"postal_code": "336198362",
"telephone_number": "813-289-6597",
"fax_number": "865-769-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 COCONUT PALM DR STE 120",
"city": "TAMPA",
"state": "FL",
"postal_code": "336198362",
"telephone_number": "813-289-6597",
"fax_number": "865-769-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL TEKREETI",
"first_name": "ABDULJABBAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME126405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043503436",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.