Individual provider Active NPI

Tania Darlene Ziegler, MD

  • Family Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1114286762
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME128779 Issued in FL
Practice address
5151 Babcock St NE
Palm Bay, FL 32905-4610
Phone
(321) 567-7760
Fax
(321) 567-7761
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Medicine Physician 207Q00000X ME128779 FL Primary

Addresses

Primary practice location

5151 Babcock St NE
Palm Bay, FL 32905-4610

Mailing address

5151 Babcock St NE
Palm Bay, FL 32905-4610
Phone (321) 567-7760

Other names 1

  • Tania Sellers 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
I20160815002998 FL Practitioner - Family Practice 2062734064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

5151 Babcock St NE
Palm Bay, FL 32905-4610
Phone (321) 567-7760

Merit-based Incentive Payment System (MIPS)

Final score
54.86 of 100Reported as group
Quality
24.58
Promoting interoperability
100
Improvement activities
0
Cost
74.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128779FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Care Plan, Inc CurrentSince Oct 16, 2023 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Oct 16, 2023 Accepting new patients

Locations

5151 Babcock St NE
Palm Bay, FL 32905
Phone (321) 567-7760

309 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 445-7073

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1114286762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054610",
            "telephone_number": "321-567-7760",
            "fax_number": "321-567-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054610",
            "telephone_number": "321-567-7760",
            "fax_number": "321-567-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "TANIA",
        "middle_name": "DARLENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME128779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "SELLERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.