Tabare D Tabar, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105645 Issued in FL

Practice address

4990 Golden Gate Pkwy
Naples, FL 34116-6962

Phone

(239) 692-8309

Fax

(239) 692-8504

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hispanic Health Enterprises LLCGroup PAC ID 5395962195, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles (4 of 6)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9587/brand/1/csg/1/fhir/r4

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.

• Hispanic Health Enterprises LLC

  • Family Medicine Physician
  • Naples, FL
  • NPI 1124450077

  FL

  Medicare reassignment Care Compare group Authorized official
• Hispanic Health Enterprises LLC

  • Family Medicine Physician
  • Naples, FL
  • NPI 1477801942
  NPD Authorized official
• 290 Mangum Healthcare LLC

  • Adult Medicine Physician
  • Houston, TX
  • NPI 1164726956
  NPD (past) Authorized official
• Patient Transport of Naples Inc

  • Non-emergency Medical Transport (VAN)
  • Naples, FL
  • NPI 1366200719
  NPD (past)
• Affiliates in Digestive & Liver Diseases, P.a.

  • Specialist
  • Corpus Christi, TX
  • NPI 1356552004
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1891730008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166962",
            "telephone_number": "239-692-8309",
            "fax_number": "239-692-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166962",
            "telephone_number": "239-692-8309",
            "fax_number": "239-692-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAR",
        "first_name": "TABARE",
        "middle_name": "D",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01537",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Szachacz, CF-SLP
• Kristen Szczepan, PHARMD
• Edwina Marie Szempruch, LMT
• T Vision Inc
• Katia E. Taba, MD
• Laura Lane Tabone, LCSW
• Holly Haleh Tabrah, M.D.
• Rona Tagalog, ARNP
• Abdel Rahman Taha, PHARMD
• Danielle Martinez Tahan, ARNP

• All providers in Naples, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.