Active NPI
Frederick Malibiran, D.O.
- Family Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS7689
- Practice address
- 2020 Town Center Blvd
Suite B
Brandon, FL 33511-2906 - Phone
- (813) 315-1500
- Fax
- (813) 377-1686
- NPI assigned
- Aug 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS7689 | FL | Primary |
Addresses
Primary practice location
2020 Town Center Blvd
Suite B
Brandon, FL 33511-2906
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4975
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01205040 | Other | FL | R&R MEDICARE |
| 007922000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Fmcb@flmed.directbygreenway.com | Health Information Exchange (HIE) |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050615000245 | FL | Practitioner - Family Practice | 2769426303 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohi West Medical Group II LLC
Practice addresses (Care Compare)
2020 Town Ctr Blvd
Brandon, FL 33511-2906
38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195
38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414
38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380
38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440
38135 Market Square Dr
Zephyrhills, FL 33542-7505
Hospital & facility affiliations
- Etairos Health Inc
- H Lee Moffitt Cancer Center & Research Institute I
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Clinic, LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Florida Medical Clinic LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Family Medical Care of Riverview PA | Family Medicine | Past | Accepting new patients |
| Ohi West Medical Group II LLC | Past | Accepting new patients | |
| Frederick Malibiran DO PA | Family Medicine | Past | Accepting new patients |
Locations
2020 Town Center Blvd
Ste B
Brandon, FL 33511
Phone (813) 315-1500
7229 US Highway 301 S
Riverview, FL 33578
Phone (813) 677-8418
13311 N 56th St
Temple Terrace, FL 33617
Phone (813) 899-2015
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651
Interoperability endpoints
- fmcb@flmed.directbygreenway.com
Organizations & group practices 15
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.
-
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
- NPI 1427814847
-
- Physiological Laboratory
- Zephyrhills, FL
- NPI 1679344394
-
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
- NPI 1043076482
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1265298681
-
- Durable Medical Equipment & Medical Supplies
- Zephyrhills, FL
- NPI 1316703739
-
- Durable Medical Equipment & Medical Supplies
- Zephyrhills, FL
- NPI 1316703747
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1437915857
-
- Eyewear Supplier
- Zephyrhills, FL
- NPI 1679339097
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1881455566
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1215041769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 MARKET SQ",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427505",
"telephone_number": "813-528-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 TOWN CENTER BLVD",
"address_2": "SUITE B",
"city": "BRANDON",
"state": "FL",
"postal_code": "335112906",
"telephone_number": "813-315-1500",
"fax_number": "813-377-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIBIRAN",
"first_name": "FREDERICK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS7689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R&R MEDICARE",
"identifier": "P01205040",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007922000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Fmcb@flmed.directbygreenway.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2020 Town Center Blvd",
"address_2": "Suite B",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335112906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.