Danuta Fabisiak, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8474 Issued in FL

Practice address

2110 58TH St W
Bradenton, FL 34209-5660

Phone

(941) 795-7222

Fax

(941) 795-7335

NPI assigned

Oct 11, 2005

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Danuta B Fabisiak PAGroup PAC ID 2163667452, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dfabisiak@ddbfp-fl.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Dr Danuta B Fabisiak PA

  • Psychiatry Physician
  • Bradenton, FL
  • NPI 1144567868
  Medicare reassignment Care Compare group NPD Authorized official
• Deanna L Mann, PLLC

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1639716814
  NPD
• Howard Goldman MD PA

  • Psychiatry Physician
  • Bradenton, FL
  • NPI 1306035035
  NPD (past)
• Jamie R. Smolen, MD LLC

  • Neurology Physician
  • Bradenton, FL
  • NPI 1447268131
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1790773901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 58TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095660",
            "telephone_number": "941-795-7222",
            "fax_number": "941-795-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 58TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095660",
            "telephone_number": "941-795-7222",
            "fax_number": "941-795-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABISIAK",
        "first_name": "DANUTA",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "8474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261730700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer C Eziefuoh, APRN
• Ma Lourdes Fabello, RN
• Julio Cesar Fabra
• David Douglas Fabre, D.D.S.
• Lisa Fadorsen, LMHC
• Andrew Fagin
• Sharon Fahey, LCSW

• Psychiatry Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.

Verify at the official NPI Registry.