Thomas M Fabian, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME46901 Issued in FL

Practice address

2625 Tamiami TRL
Unit 1
Port Charlotte, FL 33952-6478

Phone

(941) 235-4646

Fax

(941) 235-4655

NPI assigned

Sep 7, 2005

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Diagnostic Radiology

Education

University of Massachusetts Medical School, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MRI Scan Center LLCGroup PAC ID 0345327037, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• MRI Scan Center LLC

  dba MRI Scan & Imaging Centers

  • Radiology Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1235237355

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Rose Radiology Centers, LLC

  dba Akumin

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904
  Medicare reassignment NPD
• Advanced Imaging of Port Charlotte

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1225361850
  NPD (past) Authorized official
• Advanced Imaging of Port Charlotte LLC

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1659365021
  Authorized official Same address or phone
• Coastline Imaging LLC

  dba Encore Imaging

  • Diagnostic Radiology Physician
  • Melbourne, FL
  • NPI 1770576167
  NPD
• Elite Imaging, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1669466462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 TAMIAMI TRL UNIT 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526403",
            "telephone_number": "877-277-4646",
            "fax_number": "941-235-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TAMIAMI TRL",
            "address_2": "UNIT 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526478",
            "telephone_number": "941-235-4646",
            "fax_number": "941-235-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME46901",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "25.000270",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D76130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "P00195923F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Brian Ewald, CRNA
• Express Care Medical Clinic
• Eye Associates of Manatee LLP
• Eye Doctors Optical Outlets PA
• Daniel Emeka Ezekwudo, M.D
• Jason Thomas Faipler, D.C.
• Family Dentistry of Port Charlotte
• Family Extended Care of Punta Gorda, Inc (Vick Street Manor)
• Family Eyecare Center
• Family Eyecare Center, LLC.

• Diagnostic Radiology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.