Individual provider Active NPI

Vipul V Kabaria, MD

  • Interventional Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1649373697
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME66919 Issued in FL
Practice address
13910 N Dale Mabry Hwy
BLDG 4, Ste 1
Tampa, FL 33618-2440
Phone
(813) 963-2200
Fax
(813) 963-2700
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME66919 FL
Pain Medicine Physician 208VP0000X ME66919 FL
Interventional Pain Medicine Physician 208VP0014X ME66919 FL Primary

Addresses

Primary practice location

13910 N Dale Mabry Hwy
BLDG 4, Ste 1
Tampa, FL 33618-2440

Mailing address

PO Box 272166
Tampa, FL 33688-2166
Phone (727) 823-2188

Other practice location 1

303 N Plant Ave Ste 2
Plant City, FL 33563-4730
Phone (813) 963-2200

Other practice location 2

6719 Gall Blvd Ste 203
Zephyrhills, FL 33542-2569
Phone (813) 963-2200

Other identifiers 5

IdentifierTypeStateIssuer
28500OtherFLBCBS
050058540OtherFLRR MEDICARE
379601900MedicaidFL
24981OtherFLWELLCARE
9640232OtherGHI

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
I20101027000471 FL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Internal MedicinePractitioner - Pain Management 6608816384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Internal Medicine, Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13910 N Dale Mabry Hwy
Suite 1
Tampa, FL 33618-2440
Phone (813) 963-2200

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vipul V Kabaria MD PA Pain Medicine CurrentSince Feb 23, 1996 Accepting new patients
Aatavic Chiropractic Center Inc PastSince Aug 4, 2010 Accepting new patients
Morton Plant Mease Outpatient Anesthesiology PA Past Accepting new patients

Locations

303 N Plant Ave
Ste 2
Plant City, FL 33563
Phone (813) 717-9810

13910 N Dale Mabry Hwy
Ste 1
Tampa, FL 33618
Phone (813) 963-2200

6719 Gall Blvd
Ste 203
Zephyrhills, FL 33542
Phone (813) 957-8730

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: vipul.kabaria@3119.securemail.prognocis.com

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 2

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649373697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272166",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336882166",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 N DALE MABRY HWY",
            "address_2": "BLDG 4, STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182440",
            "telephone_number": "813-963-2200",
            "fax_number": "813-963-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Plant Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335634730",
            "country_code": "US",
            "telephone_number": "813-963-2200",
            "fax_number": "813-963-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6719 Gall Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335422569",
            "country_code": "US",
            "telephone_number": "813-963-2200",
            "fax_number": "813-963-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABARIA",
        "first_name": "VIPUL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME66919",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME66919",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME66919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050058540",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379601900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "24981",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9640232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.