Individual provider Active NPI

Abigail Catherine McEwan, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tampa, FL
National Provider Identifier
1891922514
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
ME165322 Issued in FL
Practice address
10860 Sheldon Rd
Tampa, FL 33626-5117
Phone
(813) 355-8412
Fax
(813) 355-8415
NPI assigned
Jun 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2014013937 MO
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X ME165322 FL Primary

Addresses

Primary practice location

10860 Sheldon Rd
Tampa, FL 33626-5117

Mailing address

10860 Sheldon Rd
Tampa, FL 33626-5117
Phone (813) 355-8412

Other practice location 1

8630 E County Road 466
The Villages, FL 32162-5613
Phone (877) 346-2435

Other identifiers 1

IdentifierTypeStateIssuer
200014415MedicaidMO

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
I20240828003174 FL Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7517192628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME165322FLMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Face and Body, LLC Otolaryngology/Facial Plastic Surgery CurrentSince Aug 19, 2024 Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients

Locations

10860 Sheldon Rd
Tampa, FL 33626
Phone (727) 641-3449

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2301 Holmes St
Kansas City, MO 64108

Interoperability endpoints

  • Direct secure messaging: amcewan544311@direct.kuha.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1891922514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336265117",
            "telephone_number": "813-355-8412",
            "fax_number": "813-355-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336265117",
            "telephone_number": "813-355-8412",
            "fax_number": "813-355-8415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8630 E County Road 466",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625613",
            "country_code": "US",
            "telephone_number": "877-346-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEWAN",
        "first_name": "ABIGAIL",
        "middle_name": "CATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2014013937",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME165322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014415",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.