Individual provider Active NPI

Jean Claude Tabuteau, M.D., M.P.H.

  • Public Health & General Preventive Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1619908704
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ME47425 Issued in FL
Practice address
345 S Congress Ave
Delray Beach, FL 33445-4617
Phone
(561) 274-3100
Fax
(561) 274-3144
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X ME47425 FL Primary

Addresses

Primary practice location

345 S Congress Ave
Delray Beach, FL 33445-4617

Mailing address

7023 Lake Island Dr
Lake Worth, FL 33467-7950
Phone (561) 967-4252

Other identifiers 2

IdentifierTypeStateIssuer
56161ZOtherFLMEDICARE PTAN
0428906-00MedicaidFL

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
I20041117000393 FL Practitioner - General Practice 0648234815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

345 S Congress Ave
Delray Beach, FL 33445-4617
Phone (561) 274-3143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47425FLMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Mar 13, 2013 Accepting new patients
Florida Department of Health CurrentSince Mar 13, 2013 Accepting new patients

Locations

345 S Congress Ave
Delray Beach, FL 33445
Phone (561) 274-3100

225 S Congress Ave
Delray Beach, FL 33445
Phone (561) 274-3100

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1619908704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 LAKE ISLAND DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677950",
            "telephone_number": "561-967-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454617",
            "telephone_number": "561-274-3100",
            "fax_number": "561-274-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABUTEAU",
        "first_name": "JEAN",
        "middle_name": "CLAUDE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME47425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "56161Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0428906-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.