Active NPI
Elaine Dunagin Engelman, M.D.
- Diagnostic Radiology Physician
- Tampa, FL
National Provider Identifier
1497720858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME48141
- Practice address
- 4516 N Armenia Ave
Tampa, FL 33603-2732 - Phone
- (813) 348-6951
- Fax
- (813) 348-6999
- NPI assigned
- Feb 21, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME48141 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME48141 | FL | Primary |
Addresses
Primary practice location
4516 N Armenia Ave
Tampa, FL 33603-2732
Mailing address
PO Box 403444
Atlanta, GA 30384-3444
Phone (813) 348-6951
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300032258 | Other | FL | RR MCR |
| 061223500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME48141 | FL | MD | Specialist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1497720858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403444",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303843444",
"telephone_number": "813-348-6951",
"fax_number": "813-348-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4516 N ARMENIA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032732",
"telephone_number": "813-348-6951",
"fax_number": "813-348-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELMAN",
"first_name": "ELAINE",
"middle_name": "DUNAGIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME48141",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME48141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "300032258",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061223500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.