Individual provider Active NPI

Tina Fabiano, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Boynton Beach, FL
National Provider Identifier
1669751855
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
OS14846 Issued in FL
Practice address
1901 S Congress Ave Ste 420
Boynton Beach, FL 33426-6588
Phone
(561) 364-1479
NPI assigned
Aug 5, 2011
Last updated
May 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.134175 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X OS14846 FL Primary

Addresses

Primary practice location

1901 S Congress Ave Ste 420
Boynton Beach, FL 33426-6588

Mailing address

3050 Saint James Dr
Boca Raton, FL 33434-3369
Phone (847) 308-2975

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS Solutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150813012419 IL Practitioner - Internal Medicine 1355560426 Reassigns benefits to 1 organization
I20191111002363 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 1355560426 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.134175ILMDInternal Medicine Physician
OS14846FLMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC CurrentSince Jul 1, 2015 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Oct 24, 2022 Accepting new patients
Vitas Solutions Inc Hospice and Palliative Medicine CurrentSince Sep 19, 2019 Accepting new patients

Locations

1901 S Congress Ave
Ste 420
Boynton Beach, FL 33426
Phone (561) 364-1479

5317 W Atlantic Ave
Delray Beach, FL 33484
Phone (561) 496-6000

5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

3720 Executive Way
Miramar, FL 33025

601 N Flamingo Rd
Ste 416
Pembroke Pnes, FL 33028
Phone (305) 219-6267

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

255 E 5th St
Ste 1050
Cincinnati, OH 45202

Interoperability endpoints

  • Direct secure messaging: referral@vitas.direct.kno2fy.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, 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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1669751855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SAINT JAMES DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343369",
            "telephone_number": "847-308-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CONGRESS AVE STE 420",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266588",
            "telephone_number": "561-364-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIANO",
        "first_name": "TINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.134175",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "OS14846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS Solutions Inc",
            "address_1": "3720 Executive Way",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330253946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.