Individual provider Active NPI

Scott S. Ubillos, M.D.

  • Infectious Disease Physician
  • Tampa, FL
National Provider Identifier
1396728911
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0061704 Issued in FL
Practice address
4729 N Habana Ave
Tampa, FL 33614-7113
Phone
(813) 251-8444
Fax
(813) 254-6414
NPI assigned
Nov 29, 2005
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0061704 FL Primary

Addresses

Primary practice location

4729 N Habana Ave
Tampa, FL 33614-7113

Mailing address

4729 N Habana Ave
Tampa, FL 33614-7113
Phone (813) 251-8444

Other identifiers 1

IdentifierTypeStateIssuer
373044100MedicaidFL

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
I20101104000629 FL Practitioner - Infectious Disease 8628262581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of South Florida College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph's Hospital, Inc.Group PAC ID 1658274287, shared by 5 NPIs, 9 clinicians
Margarita R Cancio MD PAGroup PAC ID 0345338554, 20 clinicians

Practice addresses (Care Compare)

3050 1St Ave S
St Petersburg, FL 33712-1010
Phone (727) 321-4846

4729 N Habana Ave
Tampa, FL 33614-7113
Phone (813) 251-8444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0061704FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margarita R Cancio MD PA Infectious Disease CurrentSince Jul 10, 1995 Accepting new patients
Tampa General Hospital Current Accepting new patients
St. Joseph's Hospital, Inc. CurrentSince Jun 18, 2018 Accepting new patients
St Joseph's Hospital Inc CurrentSince Oct 30, 1998 Accepting new patients
St. Joseph's Hospital, Inc. CurrentSince Oct 30, 1998 Accepting new patients

Locations

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

3050 1st Ave S
St Petersburg, FL 33712
Phone (727) 209-3500

2123 W Mlk Blvd
Ste 201
Tampa, FL 33607
Phone (813) 870-4460

4 Columbia Dr
Ste 820
Tampa, FL 33606
Phone (813) 251-8444

4600 N Habana Ave
Ste 15
Tampa, FL 33614
Phone (813) 870-4460

4729 N Habana Ave
Tampa, FL 33614
Phone (813) 251-8444

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: clinical@idatb.directbygreenway.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: scott.ubillosmd@direct.mybaycare.org
  • Direct secure messaging: subillos7802@direct.tgh.org

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.

Hospital & facility affiliations 5

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1396728911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147113",
            "telephone_number": "813-251-8444",
            "fax_number": "813-254-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147113",
            "telephone_number": "813-251-8444",
            "fax_number": "813-254-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBILLOS",
        "first_name": "SCOTT",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0061704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373044100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.