Active NPI
Scott David Tannenbaum, MD
- Physical Medicine & Rehabilitation Physician
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME57381
- Practice address
- 4399 Nob Hill Road
Sunrise, FL 33351 - Phone
- (954) 746-1338
- Fax
- (954) 746-1331
- NPI assigned
- Aug 14, 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME57381 | FL | Primary |
Addresses
Primary practice location
4399 Nob Hill Road
Sunrise, FL 33351
Mailing address
PO Box 267515
Weston, FL 33326
Phone (954) 746-1338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME57301 | Other | FL | STATE LICENSE |
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
- Physical Medicine and Rehabilitation
- Education
- University of Miami, LM Miller School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
4399 N Nob Hill Rd
Sunrise, FL 33351-5813
4399 Nob Hill Rd
Sunrise, FL 33351-5813
7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033
Hospital & facility affiliations
- Medi-Nurse
- Trilogy Home Healthcare
- Trilogy Home Healthcare
- Firstat Nursing Services-West Palm Beach
- Compassionate Caring Home Care, Inc
- Encompass Health Rehab Hospital of Sunrise
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME57381 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott D Tannenbaum MD PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Encompass Health Rehabilitation Hospital of Sunrise, LLC | Past | Accepting new patients |
Locations
4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230
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.
-
- Physical Medicine & Rehabilitation Physician
- Sunrise, FL
- NPI 1528257458
-
- Rehabilitation Hospital
- Sunrise, FL
- NPI 1114990827
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Coral Springs, FL
- NPI 1417021866
-
- Home Health Agency
- Hallandale Beach, FL
- NPI 1033355672
-
- Rehabilitation Hospital
- Sunrise, FL
- NPI 1114990827
Inpatient rehabilitation facility
-
- Home Health Agency
- Miami, FL
- NPI 1225123607
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1538598081
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1780722561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295748994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 267515",
"city": "WESTON",
"state": "FL",
"postal_code": "33326",
"telephone_number": "954-746-1338",
"fax_number": "954-746-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4399 NOB HILL ROAD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33351",
"telephone_number": "954-746-1338",
"fax_number": "954-746-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNENBAUM",
"first_name": "SCOTT",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME57381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME57301",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.