Rebeca Fajardo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME106105 Issued in FL

Practice address

6101 Webb Rd Ste 203
Tampa, FL 33615-2865

Phone

(813) 269-6426

NPI assigned

Mar 2, 2007

Last updated

May 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rebeca Fajardo Other name

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

Specialty

Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCECBD

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.

• Best Value Healthcare LLC

  dba MaxHealth

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015
  Medicare reassignment Care Compare group NPD
• Florida Medical Specialists LLC

  dba Cancer Center of Sarasota

  • Hematology & Oncology Physician
  • Sarasota, FL
  • NPI 1750399598
  Medicare reassignment NPD
• Coastal Foot & Ankle Specialists LLC

  • Podiatrist
  • St Petersburg, FL
  • NPI 1295199172
  NPD
• Florida Medical Specialists LLC

  dba Cancer Center of Sarasota Manatee

  • Hematology & Oncology Physician
  • Lakewood Ranch, FL
  • NPI 1891419925
  NPD
• Florida Medical Specialists, LLC

  dba Encarnacion

  • Internal Medicine Physician
  • Dunedin, FL
  • NPI 1851056428
  NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • North Fort Myers, FL
  • NPI 1619542446
  NPD (past)
• LBH Med Group LLC

  • Health Service Clinic/Center
  • Pinellas Park, FL
  • NPI 1639620651
  NPD (past)
• Live Better Health Center, LLC

  • Health Service Clinic/Center
  • Pinellas Park, FL
  • NPI 1669757738
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1477682045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152865",
            "telephone_number": "813-269-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152865",
            "telephone_number": "813-269-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "REBECA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME106105",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECA",
            "last_name": "FAJARDO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Faith Home Health, Inc
• Faith Home Health, Inc
• Jennifer M. Faith, R.D.
• Melissa Fajardo Olavarrieta
• Fernando Fajardo Jr., LCSW
• Fadia Fakhre, MD
• Hesham Ali Abdelkader Fakhri, M.D.
• Seyed Shayan Ahmad Falasiri, MD
• Katelyn Falcetano
• Anaylis Falcon Villafuerte

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.

Verify at the official NPI Registry.