Individual provider Active NPI

Yelena Tarasenko, D.O.

  • Family Medicine Physician
  • Belleair, FL
National Provider Identifier
1831574219
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14433 Issued in FL
Practice address
401 Corbett St Ste 400
Belleair, FL 33756-7312
Phone
(727) 298-1788
Fax
(727) 298-1723
NPI assigned
Jul 27, 2015
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS14433 FL Primary

Addresses

Primary practice location

401 Corbett St Ste 400
Belleair, FL 33756-7312

Mailing address

401 Corbett St Ste 400
Belleair, FL 33756-7312
Phone (727) 298-1788

Other practice location 1

11097 Hearth Rd
Spring Hill, FL 34608-3704
Phone (727) 593-5492

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
I20181117000272 FL Practitioner - Family Practice 8921352501 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Family Practice LLC CurrentSince Sep 10, 2018 Accepting new patients

Locations

44 Veterans Ave
Brooksville, FL 34601
Phone (352) 797-3500

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

13540 Walsingham Rd
Largo, FL 33774
Phone (727) 587-7113

11097 Hearth Rd
Spring Hill, FL 34608
Phone (352) 263-2600

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 1

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": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1831574219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST STE 400",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337567312",
            "telephone_number": "727-298-1788",
            "fax_number": "727-298-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST STE 400",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337567312",
            "telephone_number": "727-298-1788",
            "fax_number": "727-298-1723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11097 Hearth Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346083704",
            "country_code": "US",
            "telephone_number": "727-593-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARASENKO",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleair, FL

Sources for this page

Verify at the official NPI Registry.