Individual provider Active NPI

Hamed El-Jabali, DMD

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1568029346
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24092 Issued in FL
Practice address
13584 University Plaza St
Tampa, FL 33613-4628
Phone
(813) 971-8141
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24092 FL Primary

Addresses

Primary practice location

13584 University Plaza St
Tampa, FL 33613-4628

Mailing address

8108 River Mont Way
Temple Terrace, FL 33637-7921

Other practice location 1

5201 N Central Ave
Tampa, FL 33603-2217
Phone (813) 231-0072

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627001475 FL Order and Referring Only - DentistPractitioner - Dentist 6507190352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24092FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Past Accepting new patients
Dental Experts of Florida PastSince Sep 10, 2023 Accepting new patients
Coast Florida P.a. PastSince Jun 22, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1568029346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 RIVER MONT WAY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336377921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13584 UNIVERSITY PLAZA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134628",
            "telephone_number": "813-971-8141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336032217",
            "country_code": "US",
            "telephone_number": "813-231-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-JABALI",
        "first_name": "HAMED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.