Active NPI
Agnes Ubani, MD
- Family Medicine Physician
- Temple Terrace, FL
National Provider Identifier
1285702894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 84332
- Practice address
- 11434 N 53Rd Street
Temple Terrace, FL 33617-4071 - Phone
- (813) 341-7900
- Fax
- (813) 341-7903
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | ME 84332 | FL | Primary |
Addresses
Primary practice location
11434 N 53Rd Street
Temple Terrace, FL 33617-4071
Mailing address
PO Box 16722
Tampa, FL 33687-6722
Phone (813) 341-7900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264702800 | Medicaid | FL | |
| 1285702894 | Other | FL | K7030 |
| K7030 | Other | FL | 1285702894 |
Other names 1
- Agnes Ubani
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11434 N 53Rd St
Temple Terrace, FL 33617-2216
Phone (813) 341-7900
Hospital & facility affiliations
- Ccmedic Homecare LLC
- Adventhealth Tampa
- St Josephs Hospital
- Tampa General Hospital
- H Lee Moffitt Cancer Center & Research Institute I
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 84332 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agnes Ubani Inc | Current | Accepting new patients | |
| Bay Area Primary Care Associates | Family Medicine | Past | Accepting new patients |
| Jay Care Medical Center, Inc. | Past | Accepting new patients |
Locations
11434 N 53rd St
Temple Terrace, FL 33617
Phone (813) 341-7900
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Temple Terrace, FL
- NPI 1134302748
-
- Primary Care Clinic/Center
- Lakeland, FL
- NPI 1457336182
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1376245381
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1285702894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16722",
"city": "TAMPA",
"state": "FL",
"postal_code": "336876722",
"telephone_number": "813-341-7900",
"fax_number": "813-341-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11434 N 53RD STREET",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336174071",
"telephone_number": "813-341-7900",
"fax_number": "813-341-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UBANI",
"first_name": "AGNES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 84332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264702800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "K7030",
"identifier": "1285702894",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1285702894",
"identifier": "K7030",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AGNES",
"last_name": "UBANI",
"credential": "INC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Temple Terrace, FL
- Elana Miriam Tumney, CNM
- Ersin Turkcan, M.D.
- Malikia Tyler
- U.S. Healthworks Medical Group of Florida, Inc.
- U.S. Healthworks Medical Group of Florida, Inc.
- Unique Units LLC
- University Hematology&Oncology, P.a.
- University Hematology&Oncology, P.a.
- Shyam Jaikishin Uttamchandani, M.D.
- Bhavik Kantilal Vala, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.