Individual provider Active NPI

Ahmad B Tarabishy, MD

  • Ophthalmology Physician
  • Wesley Chapel, FL
National Provider Identifier
1770629933
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME117051 Issued in FL
Practice address
2400 Cypress Glen Dr
Wesley Chapel, FL 33544-4604
Phone
(813) 973-3333
Fax
(813) 973-3888
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME117051 FL
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X ME117051 FL
Ophthalmology Physician 207W00000X ME117051 FL Primary

Addresses

Primary practice location

2400 Cypress Glen Dr
Wesley Chapel, FL 33544-4604

Mailing address

2400 Cypress Glen Dr
Wesley Chapel, FL 33544-4604
Phone (813) 973-3333

Other identifiers 1

IdentifierTypeStateIssuer
009398400MedicaidFL

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
I20130903000766 FL Practitioner - Ophthalmology 9830292390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Physicians of Pinellas, PAGroup PAC ID 5092629071, 39 clinicians
Seashore Retina LLCGroup PAC ID 8022233733, 3 clinicians

Practice addresses (Care Compare)

1247 Lakeland Hills Blvd
Lakeland, FL 33805-4673
Phone (863) 688-5604

2400 Cypress Glen Dr
Wesley Chapel, FL 33544-4604
Phone (813) 973-3333

Hospital & facility affiliations

  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seashore Retina LLC Ophthalmology CurrentSince May 20, 2014 Accepting new patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Oct 21, 2014 Accepting new patients
The Eye Physicians of Pinellas, PA Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Oct 21, 2014 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Feb 1, 2023 Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients

Locations

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

1247 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-5604

4708 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-6455

1243 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 262-3111

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

2801 W Busch Blvd
Ste 102
Tampa, FL 33618

2400 Cypress Glen Dr
Wesley Chapel, FL 33544
Phone (813) 940-3130

26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073

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 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1770629933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CYPRESS GLEN DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444604",
            "telephone_number": "813-973-3333",
            "fax_number": "813-973-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CYPRESS GLEN DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444604",
            "telephone_number": "813-973-3333",
            "fax_number": "813-973-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARABISHY",
        "first_name": "AHMAD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME117051",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "FL",
            "license": "ME117051",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME117051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009398400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.