Individual provider Active NPI

Marco Antonio Rabines, M.D.

  • Psychiatry Physician
  • Bradenton, FL
National Provider Identifier
1780833038
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME118947 Issued in FL
Practice address
541 Chantilly TRL
Bradenton, FL 34212-5023
Phone
(941) 231-0160
Fax
(918) 398-9318
NPI assigned
Sep 11, 2008
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME118497 FL
Psychiatry Physician 2084P0800X ME118947 FL Primary

Addresses

Primary practice location

541 Chantilly TRL
Bradenton, FL 34212-5023

Mailing address

541 Chantilly TRL
Bradenton, FL 34212-5023
Phone (941) 231-0160

Other practice location 1

541 Chantilly Trl
Bradenton, FL 34212-5023
Phone (941) 231-0160

Other identifiers 2

IdentifierTypeStateIssuer
012805100MedicaidFL
ZUA 9066925600100OtherPRSSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, 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
I20120906000127 PR Practitioner - Psychiatry 5597912055 Reassigns benefits to 1 organization
I20140828001414 FL Practitioner - Psychiatry 5597912055 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suncoast Center, Inc.Group PAC ID 4082603295, 20 clinicians

Practice addresses (Care Compare)

4024 Central Ave
St Petersburg, FL 33711-1239
Phone 72732776564169

541 Chantilly TRL
Bradenton, FL 34212-5023
Phone (941) 448-0596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118497FLMDPsychiatry Physician
ME118947FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Florida, Inc. CurrentSince Aug 1, 2014 Accepting new patients
MCR Health, Inc. CurrentSince May 8, 2020 Accepting new patients
Elysium Mental Health LLC Psychiatry CurrentSince May 27, 2022 Accepting new patients
First Hospital Panamericano, Inc. CurrentSince May 15, 2012 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince May 15, 2023 Accepting new patients
Suncoast Center, Inc. CurrentSince Jan 16, 2024 Accepting new patients
MCR Health, Inc. CurrentSince May 8, 2020 Accepting new patients
Centerstone of Florida, Inc. PastSince Jul 4, 2021 Accepting new patients

Locations

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

725 N 12th Ave
#B
Arcadia, FL 34266
Phone (863) 494-1242

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

2020 26th Ave E
Bradenton, FL 34208
Phone (941) 782-4600

379 6th Ave W
Bradenton, FL 34205
Phone (941) 782-4100

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

4024 Central Ave
St Petersburg, FL 33711

Organizations & group practices 8

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1780833038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CHANTILLY TRL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125023",
            "telephone_number": "941-231-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CHANTILLY TRL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125023",
            "telephone_number": "941-231-0160",
            "fax_number": "918-398-9318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Chantilly Trl",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342125023",
            "country_code": "US",
            "telephone_number": "941-231-0160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABINES",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME118497",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME118947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012805100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "ZUA 9066925600100",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.