Individual provider Active NPI

Fayssal El-Jabali, D.O.

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1629199096
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS13896 Issued in FL
Practice address
4178 N Armenia Ave
Tampa, FL 33607-6429
Phone
(813) 999-3998
Fax
(813) 522-3371
NPI assigned
Apr 3, 2007
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS13896 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X OS13896 FL

Addresses

Primary practice location

4178 N Armenia Ave
Tampa, FL 33607-6429

Mailing address

4178 N Armenia Ave
Tampa, FL 33607-6429
Phone (813) 999-3998

Other practice location 1

2055 Little Rd
Trinity, FL 34655-4421
Phone (813) 999-3998

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
I20160426001423 FL Practitioner - Ophthalmology 0547424822 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

4178 N Armenia Ave
Tampa, FL 33607-6429
Phone (813) 999-3998

6002 Pointe W Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
81.43
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13896FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Ophthalmology CurrentSince Jan 28, 2019 Accepting new patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Jun 1, 2019 Accepting new patients
Pasadena Eye Center, LLC Ophthalmology CurrentSince Jan 29, 2019 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Jun 1, 2019 Accepting new patients
Glenn P Hoot MD PHD PS Inc PastSince Aug 1, 2010 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

7915 US Highway 301 N
Ste 101
Ellenton, FL 34222
Phone (941) 729-2020

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

2111 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 213-1385

1601 38th Ave N
St Petersburg, FL 33713
Phone (727) 822-4287

6950 Central Ave
St Petersburg, FL 33707
Phone (727) 343-3004

3894 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 633-0601

1550 E Venice Ave
Venice, FL 34292
Phone (941) 667-9030

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: fayssal.eljabali.p1@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: fayssal.eljabalido.p3@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: feljabali@bayretina.intellechartdirect.net

Organizations & group practices 6

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1629199096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076429",
            "telephone_number": "813-999-3998",
            "fax_number": "813-522-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076429",
            "telephone_number": "813-999-3998",
            "fax_number": "813-522-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554421",
            "country_code": "US",
            "telephone_number": "813-999-3998",
            "fax_number": "813-522-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-JABALI",
        "first_name": "FAYSSAL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS13896",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "OS13896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.