Individual provider Active NPI

Fred I Rabow, M.D.

  • Specialist
  • Tampa, FL
National Provider Identifier
1245209030
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0031296 Issued in FL
Practice address
2919 W Swann Ave
Suite 203
Tampa, FL 33609-4095
Phone
(813) 870-1747
Fax
(813) 876-8561
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0031296 FL Primary

Addresses

Primary practice location

2919 W Swann Ave
Suite 203
Tampa, FL 33609-4095

Mailing address

2919 W Swann Ave
Ste 105B
Tampa, FL 33609-4049
Phone (813) 870-1747

Other identifiers 1

IdentifierTypeStateIssuer
038190000MedicaidFL

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
I20110113001209 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5597954057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31296FLMDDentist
ME0031296FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Imaging LLC Past Accepting new patients
Tower Imaging LLC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1245209030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "STE 105B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094049",
            "telephone_number": "813-870-1747",
            "fax_number": "813-876-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094095",
            "telephone_number": "813-870-1747",
            "fax_number": "813-876-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOW",
        "first_name": "FRED",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0031296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038190000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.