Active NPI
Bibi Shereen Eoonous, D.O.
- Hospitalist Physician
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS10034
- Practice address
- 1000 Waterman Way
Tavares, FL 32778-5266 - Phone
- (352) 742-8836
- NPI assigned
- Oct 17, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS 10034 | FL | |
| Hospitalist Physician | 208M00000X | OS10034 | FL | Primary |
Addresses
Primary practice location
1000 Waterman Way
Tavares, FL 32778-5266
Mailing address
1741 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 742-8836
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 10034 | FL | MD | Internal Medicine Physician |
| OS10034 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Internal Medicine | Current | Accepting new patients |
Locations
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
1737 David Walker Dr
Tavares, FL 32778
Phone (352) 742-3578
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- beoonous244623@adventhealth.direct-ci.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499212800000",
"number": "1457540288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 DAVID WALKER DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785745",
"telephone_number": "352-742-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WATERMAN WAY",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785266",
"telephone_number": "352-742-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EOONOUS",
"first_name": "BIBI",
"middle_name": "SHEREEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2017-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS 10034",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS10034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.