Individual provider Active NPI

Kelly Fabrega-Foster, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1275826802
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME132558 Issued in FL
Practice address
1 Tampa General Cir
Tampa, FL 33606-3571
Phone
(813) 844-7229
Fax
(813) 844-7871
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME132558 FL Primary

Addresses

Primary practice location

1 Tampa General Cir
Tampa, FL 33606-3571

Mailing address

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone (813) 253-2721

Other identifiers 1

IdentifierTypeStateIssuer
020977700MedicaidFL

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
I20170706002043 FL Practitioner - Diagnostic Radiology 1850521667 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians

Practice addresses (Care Compare)

10621 Big Bend Rd
Riverview, FL 33579-7176
Phone 81325327211937

14499 N Dale Mabry Hwy
Suite 150
Tampa, FL 33618-2019
Phone 81325327211937

17416 Brookside Trace CT
Tampa, FL 33647-6200
Phone 81325327211937

19027 Wingshooter Way
Lutz, FL 33558-4875
Phone (813) 485-8720

2106 S Lois Ave
Tampa, FL 33629-5602
Phone 81325327211937

2115 Little Rd
Trinity, FL 34655-4410
Phone 81325327211937

2324 Oak Myrtle LN
Wesley Chapel, FL 33544-6319
Phone 81325327211937

3069 Grand Pavilion Dr
Tampa, FL 33613-3757
Phone 81325327211937

3350 Bell Shoals Rd
Brandon, FL 33511-7637
Phone 81325327211937

3862 Sun City Ctr Blvd
Sun City Center, FL 33573-6806
Phone 81325327211937

3870 Tampa Rd
Oldsmar, FL 34677-3133
Phone 81325327211937

427 S Parsons Ave
Suite 100
Brandon, FL 33511-5252
Phone 81325327211937

4719 N Habana Ave
Tampa, FL 33614-7105
Phone 81325327211937

5539 Marine Pkwy
New Port Richey, FL 34652-4329
Phone 81325327211937

7525 State Rd
Suite 52
Hudson, FL 34667-6716
Phone 81325327211937

8425 Northcliffe Blvd
Suite 101
Spring Hill, FL 34606-1107
Phone (352) 576-5041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132558FLMDDiagnostic Radiology Physician

Practice roles (10 of 12)

OrganizationSpecialtyStatusNew patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
University Medical Service Association Inc CurrentSince Jul 28, 2017 Accepting new patients
Women'S Care Florida LLC CurrentSince Sep 1, 2017 Accepting new patients
Medical Technology Transfer Corporation CurrentSince Dec 7, 2019 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
University Medical Service Association Inc CurrentSince Jul 28, 2017 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

5 Tampa General Cir
Ste 800
Tampa, FL 33606
Phone (813) 844-4556

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103

13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kfabregafoster131039@direct.tgh.org

Organizations & group practices 10

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1275826802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "813-253-2721",
            "fax_number": "813-977-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-7229",
            "fax_number": "813-844-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABREGA-FOSTER",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME132558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020977700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.