Active NPI
Hala Al Jiboury
- Gastroenterology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME155625
- Practice address
- 3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600 - Phone
- (813) 615-7028
- Fax
- (813) 615-8008
- NPI assigned
- Oct 19, 2011
- Last updated
- Dec 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A123602 | CA | |
| Gastroenterology Physician | 207RG0100X | ME155625 | FL | Primary |
Addresses
Primary practice location
3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600
Mailing address
509 SE Riverside Dr Ste 303
Stuart, FL 34994-2579
Phone (772) 283-9111
Other practice location 1
509 SE Riverside Dr Ste 303
Stuart, FL 34994-2579
Phone (772) 283-9111
Other names 1
- Hala Al-Jiboury
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Toledo College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
3000 Medical Park Dr
Suite 320
Tampa, FL 33613-4681
Phone (813) 910-0027
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075
8702 Hunters Lake Dr
Suite 100
Tampa, FL 33647-2855
Phone (813) 467-4700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 49.11 of 100
- Quality
- 6.22
- Promoting interoperability
- 99
- Improvement activities
- 0
- Cost
- 74.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 41 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123602 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Gastroenterology | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
3000 Medical Park Dr
Ste 500
Tampa, FL 33613
Phone (813) 615-7028
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- haljiboury1650489@adventhealth.direct-ci.com
- haljiboury2500993@direct.ccf.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Gastroenterology
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1356626402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 SE RIVERSIDE DR STE 303",
"city": "STUART",
"state": "FL",
"postal_code": "349942579",
"telephone_number": "772-283-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR STE 500",
"city": "TAMPA",
"state": "FL",
"postal_code": "336136600",
"telephone_number": "813-615-7028",
"fax_number": "813-615-8008"
}
],
"practiceLocations": [
{
"address_1": "509 SE Riverside Dr Ste 303",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349942579",
"country_code": "US",
"telephone_number": "772-283-9111",
"fax_number": "772-283-2955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL JIBOURY",
"first_name": "HALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A123602",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME155625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALA",
"last_name": "AL-JIBOURY",
"code": "2",
"type": "Professional Name"
}
]
}
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- Zainulabdeen A Al Rstum, MD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.