NPIMap

Individual provider Active NPI

Rabee H Korbaj, MD

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1932392073
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME99552 Issued in FL
Practice address
1839 Central Ave
St Petersburg, FL 33713-8900
Phone
(727) 322-1054
Fax
(727) 821-7213
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME99552 FL Primary

Addresses

Primary practice location

1839 Central Ave
St Petersburg, FL 33713-8900

Mailing address

1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 322-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071114000348 FL Practitioner - Internal Medicine 8527156272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians

Practice addresses (Care Compare)

1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99552FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Health Care of Pinellas Inc. CurrentSince Sep 17, 2007 Accepting new patients
Professional Health Care of Pinellas LLC Internal Medicine CurrentSince Sep 17, 2007 Accepting new patients
MG H2 LLC CurrentSince Sep 30, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
QMC LLC Past Accepting new patients
Palm Garden of Largo LLC PastSince Aug 15, 2024 Accepting new patients

Locations

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1609 Pasadena Ave S
Ste 1E
South Pasadena, FL 33707
Phone (727) 341-7870

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

5500 Mlk Jr St N
St Petersburg, FL 33703
Phone (727) 525-5500

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

Interoperability endpoints

  • Direct secure messaging: rkorbaj189009@orlandohealth.medalliesdirect.net
  • Direct secure messaging: rabee.korbaj@phcopi.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palm Garden of LargoLargo, FL, CCN 105574 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 15, 2024
Aug 15, 2024
Gulfport Nursing CenterSouth Pasadena, FL, CCN 106103 Skilled nursing facility Adp of the SNF Apr 1, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1932392073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBAJ",
        "first_name": "RABEE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.