Individual provider Active NPI

Tanya Janette Sibrava, DO

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1225230071
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4653 Issued in AZ
Practice address
161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087
Phone
(480) 494-2465
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 4653 AZ Primary

Addresses

Primary practice location

161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087

Mailing address

161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087
Phone (480) 494-2465

Other identifiers 1

IdentifierTypeStateIssuer
219206-01MedicaidAZ

Other names 1

  • Tanya Janette Honzak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070718000719 AZ Practitioner - Internal Medicine 3476654633 Reassigns benefits to 1 organization
I20231207002844 IL Practitioner - Osteopathic Manipulative Medicine 3476654633
I20260402000521 CA Practitioner - Internal Medicine 3476654633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Internal Medicine CurrentSince May 27, 2025 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince May 27, 2025 Accepting new patients
Adobe Care and Wellness LLC PastSince Mar 18, 2021 Accepting new patients

Locations

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: tanya.sibrava.1@22854.direct.athenahealth.com

Organizations & group practices 4

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1225230071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E RIVULON BLVD STE 210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970087",
            "telephone_number": "480-494-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E RIVULON BLVD STE 210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970087",
            "telephone_number": "480-494-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBRAVA",
        "first_name": "TANYA",
        "middle_name": "JANETTE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219206-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "HONZAK",
            "middle_name": "JANETTE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.