Ibis Health Services - Florida PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IBIS HEALTH SERVICES - FLORIDA PLLC

Practice address

1201 Hays St
Tallahassee, FL 32301-2699

Phone

(978) 635-9090

Fax

(207) 401-2727

NPI assigned

Jan 7, 2025

Last updated

Jan 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Piali De

Title

Manager

Phone

(978) 635-9090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamieson Taylor Peterman, ARNP

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1962792028
  Medicare reassignment Care Compare group NPD
• Ana Sofia Rivero Gutierrez, M.D

  • Internal Medicine Physician
  • Oak Bluffs, MA
  • NPI 1780939587

  FL

  Medicare reassignment Care Compare group NPD
• Carissa M Kelly, CNP

  • Adult Health Nurse Practitioner
  • Canton, MA
  • NPI 1821307646

  FL

  Medicare reassignment NPD
• Karthik Ravindran, M.D.

  • Internal Medicine Physician
  • Framingham, MA
  • NPI 1992025712

  FL

  Medicare reassignment NPD
• Mukti J Patel-Prineas, MD

  • Family Medicine Physician
  • Putnam, CT
  • NPI 1083932990
  NPD (past)

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1588473151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HAYS ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012699",
            "telephone_number": "978-635-9090",
            "fax_number": "207-401-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HAYS ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012699",
            "telephone_number": "978-635-9090",
            "fax_number": "207-401-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBIS HEALTH SERVICES - FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "DE",
        "authorized_official_first_name": "PIALI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-635-9090"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Choose Me Therapy Services
• I-4 West Surgical Services, LLC
• I'M Free Now What LLC
• Emily A Ibarra
• Kelly Marie Ibarra
• Ibm Medical Associates LLC
• Fajr Ibraheem
• Makenzi Iddings
• Shiza Idrees, DO
• Ieisha Farrell

• Internal Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, 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 Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.