Bay Area Retina Specialists LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BAY AREA RETINA SPECIALISTS LLC

Practice address

4178 N Armenia Ave
Tampa, FL 33607-6429

Phone

(813) 999-3998

Fax

(813) 522-3371

NPI assigned

Mar 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Fayssal El-Jabali, DONPI 1629199096

Title

Doctor Provider/Owner

Phone

(813) 999-3998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: feljabali@bayretina.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fayssal El-Jabali, D.O.

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1629199096
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1891254512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076429",
            "telephone_number": "813-999-3998",
            "fax_number": "813-522-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076429",
            "telephone_number": "813-999-3998",
            "fax_number": "813-522-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554421",
            "country_code": "US",
            "telephone_number": "813-999-3998",
            "fax_number": "813-522-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA RETINA SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "EL-JABALI",
        "authorized_official_first_name": "FAYSSAL",
        "authorized_official_title_or_position": "DOCTOR PROVIDER/OWNER",
        "authorized_official_telephone_number": "813-999-3998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.