Individual provider Active NPI

Tarik Ksaibati, D.O.

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1780039636
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS15152 Issued in FL
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

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1PB09OtherFLBCBS
129434100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208001301 FL Practitioner - Psychiatry 1456647643 Reassigns benefits to 1 organization

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 100Reported as apm
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

LicenseStateTypeSpecialty
H0089254MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc Psychiatry CurrentSince Dec 2, 2025 Accepting new patients
University Medical Service Association Inc CurrentSince Dec 2, 2025 Accepting new patients

Locations

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.