Individual provider Active NPI

Abida Taher, M.D, PHD

  • Nuclear Medicine Physician
  • Clearwater, FL
National Provider Identifier
1386829984
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
ME105652 Issued in FL
Practice address
1573 Coachmakers LN
Clearwater, FL 33765-1703
Phone
(832) 860-2812
NPI assigned
Jan 2, 2008
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X ME105652 FL Primary

Addresses

Primary practice location

1573 Coachmakers LN
Clearwater, FL 33765-1703

Mailing address

1573 Coachmakers Lane
Clearwater, FL 33765-1703
Phone (832) 860-2812

Other identifiers 1

IdentifierTypeStateIssuer
020042900MedicaidFL

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
I20091212000005 FL Practitioner - Nuclear Medicine 3072541747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529
Phone (239) 772-3544

1309 N Flagler Dr
Florida Cancer Specialists PL
West Palm Beach, FL 33401-3406
Phone (561) 366-4100

1390 Grand Venture Dr
North Port, FL 34286-2309
Phone (941) 257-2280

1396 Whisper Cir
Sebring, FL 33870-1204
Phone (863) 385-1244

2351 Phillips Rd
Tallahassee, FL 32308-5333
Phone (850) 877-8166

2895 Hueland Pond Blvd
Suite 100
Wesley Chapel, FL 33543-7504
Phone (813) 279-7107

3401 Pga Blvd
Suite 200
Palm Beach Gardens, FL 33410-2824
Phone (561) 366-4100

3402 W Dr Martin Luther King Jr BLV
Florida Cancer Specialists PL
Tampa, FL 33607-6214
Phone (813) 875-3950

3730 7TH Ter
Suite 101
Vero Beach, FL 32960-6556
Phone (772) 567-2332

3840 Broadway
Fort Myers, FL 33901-8108
Phone (239) 275-6400

4689 US Hwy 17
Suite 2 5
Fleming Island, FL 32003-4831
Phone (904) 269-6526

521 N Lecanto Hwy
Florida Cancer Specialists PL
Lecanto, FL 34461-9187
Phone (352) 746-0707

5500 Pinebrook Rd
Suite 202
North Venice, FL 34275-3678
Phone (941) 408-0500

5985 Silver Falls Run
Suite 200
Bradenton, FL 34211-1291
Phone (941) 907-4737

601 E Dixie Avenue
1001 Florida Cancer Specialists PL
Leesburg, FL 34748-7309
Phone (352) 787-9448

6420 W Newberry Rd E Wing
1 Florida Cancer Specialists P L
Gainesville, FL 32605-4308
Phone (352) 332-3900

805 Currency Cir
Lake Mary, FL 32746-2115
Phone (407) 804-6133

8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Phone (239) 437-5755

8440 Murano del Lago Dr
Estero, FL 34135-8615
Phone (239) 221-5402

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME105652FLMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 1, 2017 Accepting new patients
Clearwater Imaging Associates PA Past Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

3402 W Mlk Blvd
Tampa, FL 33607
Phone (813) 875-3950

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1386829984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 COACHMAKERS LANE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651703",
            "telephone_number": "832-860-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 COACHMAKERS LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651703",
            "telephone_number": "832-860-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHER",
        "first_name": "ABIDA",
        "credential": "M.D, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME105652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020042900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.