Individual provider Active NPI

Kari Tannenbaum, M.D.

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1679793830
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME116252 Issued in FL
Practice address
4800 Linton Blvd Ste F107
Delray Beach, FL 33445-6506
Phone
(561) 750-7509
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME116252 FL Primary

Addresses

Primary practice location

4800 Linton Blvd Ste F107
Delray Beach, FL 33445-6506

Mailing address

4800 Linton Blvd Ste F107
Delray Beach, FL 33445-6506
Phone (561) 750-7509

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
I20130716000409 FL Practitioner - Internal Medicine 7214985936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Physician Care P aGroup PAC ID 2961456132, 18 clinicians

Practice addresses (Care Compare)

4800 Linton Blvd
F107
Delray Beach, FL 33445-6506
Phone (561) 498-5660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116252FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Care P a Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Endeavor Health Medical Group Internal Medicine Past Accepting new patients

Locations

4800 Linton Blvd
Ste F107
Delray Beach, FL 33445
Phone (561) 498-4223

Interoperability endpoints

  • Direct secure messaging: kari.tannenbaum@ppc.emedpractice.direct-ci.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 1

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1679793830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456506",
            "telephone_number": "561-750-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456506",
            "telephone_number": "561-750-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "KARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.