Individual provider Active NPI

Klemen Milan Ribic, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1174728653
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME107648 Issued in FL
Practice address
2810 W Saint Isabel St
201
Tampa, FL 33607-6375
Phone
(813) 681-0141
Fax
(813) 985-5982
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME107648 FL Primary

Addresses

Primary practice location

2810 W Saint Isabel St
201
Tampa, FL 33607-6375

Mailing address

PO Box 20065
Tampa, FL 33622-0065
Phone (813) 890-8004

Other identifiers 2

IdentifierTypeStateIssuer
ME107648OtherFLLIC PHY
002640100MedicaidFL

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
I20101026000101 FL Practitioner - Internal Medicine 9537269451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Bay Area Hospitalists PAGroup PAC ID 6406814060, 24 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

3117 W Gandy Blvd
Tampa, FL 33611-2927
Phone (813) 261-5500

Hospital & facility affiliations

  • Empower Home Care Home health agency, Sun City Center, FL, CCN 687110
  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
  • Southwest Florida Home Care Inc Home health agency, Tampa, FL, CCN 687063
  • Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
  • Divine Home Health Care Inc Home health agency, Tampa, FL, CCN 109361
  • Lifepath Hospice Hospice, Temple Terr, FL, CCN 101507
  • Suncoast Hospice of Hillsborough, LLC Hospice, Brandon, FL, CCN 101567
  • Hawthorne Center for Rehabilitation and Healing of Nursing home, Brandon, FL, CCN 105881
  • Northdale Rehabilitation Center Nursing home, Tampa, FL, CCN 105700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospitalists PA Internal Medicine CurrentSince Aug 23, 2010 Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

702 S Kings Ave
Brandon, FL 33511
Phone (813) 651-1818

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2810 W Saint Isabel St
Ste 201
Tampa, FL 33607
Phone (813) 681-0141

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

3117 W Gandy Blvd
Tampa, FL 33611
Phone (813) 261-5500

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northdale Rehabilitation CenterTampa, FL, CCN 105700 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 15, 2010
Jul 15, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1174728653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20065",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220065",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST",
            "address_2": "201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-681-0141",
            "fax_number": "813-985-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBIC",
        "first_name": "KLEMEN",
        "middle_name": "MILAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC PHY",
            "identifier": "ME107648",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002640100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.