Individual provider Active NPI

Rebecca Abu, M.D

  • Pediatrics Physician
  • Belle Glade, FL
National Provider Identifier
1942310032
Registry record updated Sep 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 73613 Issued in FL
Practice address
124 SW 1St St
Belle Glade
Belle Glade, FL 33430-3472
Phone
(561) 992-2316
NPI assigned
Aug 30, 2006
Last updated
Sep 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 73613 FL Primary

Addresses

Primary practice location

124 SW 1St St
Belle Glade
Belle Glade, FL 33430-3472

Mailing address

12333 Equine LN
Wellington
Wellington, FL 33414-3503
Phone (561) 992-2316

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
I20170208002686 FL Practitioner - Pediatric Medicine 5698058063 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 73613FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Park Medical Group Inc Multi-Specialty CurrentSince Oct 11, 2016 Accepting new patients

Locations

124 SW 1st St
Belle Glade, FL 33430
Phone (561) 992-2316

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFIBCA

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284249600000",
    "number": "1942310032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12333 EQUINE LN",
            "address_2": "WELLINGTON",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143503",
            "telephone_number": "561-992-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SW 1ST ST",
            "address_2": "BELLE GLADE",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303472",
            "telephone_number": "561-992-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU",
        "first_name": "REBECCA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 73613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

Verify at the official NPI Registry.