Individual provider Active NPI

Scott David Tannenbaum, MD

  • Physical Medicine & Rehabilitation Physician
  • Sunrise, FL
National Provider Identifier
1295748994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME57381 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ME57301OtherFLSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000486 FL Practitioner - Physical Medicine and Rehabilitation 4688578818 Reassigns benefits to 1 organization

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
Scott D Tannenbaum MD PAGroup PAC ID 9436053667, 3 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

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 Home health agency, Miami, FL, CCN 109505
  • Trilogy Home Healthcare Home health agency, Coral Springs, FL, CCN 108061
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Firstat Nursing Services-West Palm Beach Home health agency, West Palm Beach, FL, CCN 108009
  • Compassionate Caring Home Care, Inc Home health agency, Hallandale, FL, CCN 109324
  • Encompass Health Rehab Hospital of Sunrise Inpatient rehabilitation facility, Sunrise, FL, CCN 103028

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME57381FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott D Tannenbaum MD PA Physical Medicine & Rehabilitation CurrentSince Apr 9, 1990 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.