Renata Teytelbaum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0056418 Issued in FL

Practice address

585 Main St
Suite 101
Dunedin, FL 34698-4918

Phone

(727) 734-6777

Fax

(727) 734-6440

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1497756621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MAIN STREET, SUITE 101",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984921",
            "telephone_number": "727-734-6777",
            "fax_number": "727-734-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MAIN ST",
            "address_2": "SUITE 101",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984918",
            "telephone_number": "727-734-6777",
            "fax_number": "727-734-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEYTELBAUM",
        "first_name": "RENATA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0056418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053130800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Mellon Tarpey, M.S., A.T.C., P.E.S.
• Tatiana Nagibina MD PA
• Christin Lyn Taylor, M.D.
• Adem Mehmet Telci, PHARMD
• Kara Marie Terry
• Kalpana Thawani, MD
• Therapy Solutions of Tampa Bay Inc
• Susan Marie Thevenard, PTA
• Thomas J Sultenfuss MD PA
• Eileen Marie Thomas, PT

• Family Medicine Physician in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.