Active NPI
Tarik Ksaibati, D.O.
- Psychiatry Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS15152
- Practice address
- 1303 W Kennedy Blvd
Tampa, FL 33606-1848 - Phone
- (813) 821-8038
- NPI assigned
- Apr 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | ||
| Psychiatry Physician | 2084P0800X | OS15152 | FL | Primary |
| Psychiatry Physician | 2084P0800X | H0089254 | MD |
Addresses
Primary practice location
1303 W Kennedy Blvd
Tampa, FL 33606-1848
Mailing address
8451 Temple Terrace Hwy
Tampa, FL 33637-5853
Other practice location 1
4037 NW 86th Ter
Rm 3154
Gainesville, FL 32606-9277
Phone (352) 294-4945
Other practice location 2
9901 Medical Center Dr Rm 3154
Rockville, MD 20850-3357
Phone (301) 315-3826
Other practice location 3
8451 Temple Terrace Hwy
Temple Terrace, FL 33637-5853
Phone (813) 631-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1PB09 | Other | FL | BCBS |
| 129434100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tksaibati371425@direct.tgh.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12901 Bruce B Downs Blvd
Tampa, FL 33612-4799
12901 Bruce B Downs Blvd
MDC 62
Tampa, FL 33612-4742
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 79.78
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0089254 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Psychiatry | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients |
Locations
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
Interoperability endpoints
- tksaibati212941@direct.shands.ufl.edu
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1780039636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8451 TEMPLE TERRACE HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336375853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 W KENNEDY BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336061848",
"telephone_number": "813-821-8038"
}
],
"practiceLocations": [
{
"address_1": "4037 NW 86th Ter",
"address_2": "Rm 3154",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326069277",
"country_code": "US",
"telephone_number": "352-294-4945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9901 Medical Center Dr Rm 3154",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208503357",
"country_code": "US",
"telephone_number": "301-315-3826",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8451 Temple Terrace Hwy",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336375853",
"country_code": "US",
"telephone_number": "813-631-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KSAIBATI",
"first_name": "TARIK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS15152",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "H0089254",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1PB09",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129434100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tksaibati371425@direct.tgh.org",
"affiliation": "N",
"address_1": "1303 W Kennedy Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336061848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.