Individual provider Active NPI

Katia E. Taba, MD

  • Retina Specialist (Ophthalmology) Physician
  • Naples, FL
National Provider Identifier
1376768242
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME109922 Issued in FL
Practice address
3467 Pine Ridge Rd Ste 103
Naples, FL 34109-3832
Phone
(239) 325-3970
Fax
(239) 325-3971
NPI assigned
Apr 16, 2007
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD201381 LA
Ophthalmology Physician 207W00000X ME109922 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME109922 FL Primary

Addresses

Primary practice location

3467 Pine Ridge Rd Ste 103
Naples, FL 34109-3832

Mailing address

3467 Pine Ridge Rd Ste 103
Naples, FL 34109-3832
Phone (239) 325-3970

Other names 1

  • Dr. Katia Taba Other name

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
I20120524000664 FL Practitioner - Ophthalmology 6901903988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

3467 Pine Ridge Rd
Suite 103
Naples, FL 34109-3832
Phone (239) 325-3970

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD201381LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Eye Center, P.a. CurrentSince Jan 1, 2020 Accepting new patients
Cape Coral Eye Center, P.a. Ophthalmology CurrentSince Jan 1, 2020 Accepting new patients
Retina Vitreous Consultants Ophthalmology CurrentSince Jan 9, 2023 Accepting new patients
The Retina & Macular Degeneration Center of SW Florida PLLC PastSince Jul 27, 2015 Accepting new patients

Locations

950 Glades Rd
Ste 1C
Boca Raton, FL 33431
Phone (305) 294-5504

4120 Del Prado Blvd S
Cape Coral, FL 33904

6333 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 776-6880

3467 Pine Ridge Rd
Ste 103
Naples, FL 34109
Phone (239) 325-3960

Interoperability endpoints

  • Direct secure messaging: ktaba@rgfla.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1376768242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 PINE RIDGE RD STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093832",
            "telephone_number": "239-325-3970",
            "fax_number": "239-325-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 PINE RIDGE RD STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093832",
            "telephone_number": "239-325-3970",
            "fax_number": "239-325-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABA",
        "first_name": "KATIA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD201381",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME109922",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME109922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIA",
            "last_name": "TABA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.