Individual provider Active NPI

Jeremy Tabak

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1609862515
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME37905 Issued in FL
Practice address
8600 SW 92ND St Ste 204B
Miami, FL 33156-7377
Phone
(305) 661-9404
Fax
(305) 661-1510
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME37905 FL
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME37905 FL
Pulmonary Disease Physician 207RP1001X ME37905 FL Primary

Addresses

Primary practice location

8600 SW 92ND St Ste 204B
Miami, FL 33156-7377

Mailing address

8600 SW 92ND St
Suite 204a
Miami, FL 33156-7397
Phone (305) 436-9933

Other practice location 1

15955 SW 96th St Ste 306
Miami, FL 33196-1273
Phone (305) 661-9404

Other identifiers 1

IdentifierTypeStateIssuer
043591100MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000364 FL Practitioner - Pulmonary Disease 3173582327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
New York University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Physicians of South Florida LLCGroup PAC ID 1850360397, 39 clinicians

Practice addresses (Care Compare)

15955 SW 96 St
Miami, FL 33196-1273
Phone (305) 661-9404

5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 779-7381

6200 SW 73Rd St 3Rd Floor
South Miami Hospital
South Miami, FL 33143-4679
Phone (786) 662-4000

7400 SW 87TH Ave
416 Baptist Sleep Center at Galloway
Miami, FL 33173-5458
Phone (786) 596-1306

8600 SW 92ND St
Suite 204B
Miami, FL 33156-7377

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-1960

91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (305) 852-4418

9555 SW 162 Ave
West Kendall Baptist Hospital
Miami, FL 33196-6408
Phone (786) 467-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.5 of 100Reported as individual
Quality
85
Promoting interoperability
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME37905FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Sleep Centers of South Florida LLC Sleep Medicine CurrentSince Sep 15, 2019 Accepting new patients
Pulmonary Physicians of South Florida LLC Critical Care Medicine CurrentSince Sep 1, 2004 Accepting new patients
Neuroscience Consultants LLP PastSince Jul 19, 2009 Accepting new patients

Locations

7261 Sheridan St
Ste 210B
Hollywood, FL 33024
Phone (954) 239-4091

15955 SW 96th St
Ste 306
Miami, FL 33196
Phone (305) 661-9404

8600 SW 92nd St
Ste 204B
Miami, FL 33156
Phone (305) 436-9933

8600 SW 92nd St
#204A
Miami, FL 33156
Phone (305) 436-9933

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

7400 SW 87th Ave
Ste 220A
Miami, FL 33173
Phone (786) 467-5241

7000 SW 62nd Ave
Ste 201
South Miami, FL 33143
Phone (305) 595-1095

Networks

  • Optimum HealthCare HMO Network
  • 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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1609862515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST",
            "address_2": "SUITE 204A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567397",
            "telephone_number": "305-436-9933",
            "fax_number": "305-436-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST STE 204B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "305-661-9404",
            "fax_number": "305-661-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15955 SW 96th St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331961273",
            "country_code": "US",
            "telephone_number": "305-661-9404",
            "fax_number": "305-661-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABAK",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME37905",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME37905",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME37905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043591100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.