ELLEN DZIERZAK TAMBOLI
NPI 1629607494
Physical Medicine & Rehabilitation in Miami, FL

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(305) 243-6605(305) 243-4650 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, Jul 12, 2024, Apr 3, 2020 (3 updates tracked since 2020).

About Ellen Dzierzak Tamboli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN DZIERZAK TAMBOLI (NPI 1629607494) is an individual physical medicine & rehabilitation provider in Miami, Florida, licensed in Florida (OS22429) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Nova Southeastern College Of Osteo Medicine (2020).

NPPES Registry Identity

NPI1629607494
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameELLEN DZIERZAK TAMBOLI
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 243-6605 · Fax (305) 243-4650
Fax(305) 243-4650
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
NPI 1629607494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in FL · OS22429
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 22429 (FL)
1611 NW 12TH AVE, Miami, FL 33136

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ellen Dzierzak Tamboli is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294166823
PECOS Enrollment IDI20260213001977
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Tamboli's NPI number?

The NPI number for Ellen Tamboli is 1629607494. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Ellen Tamboli located?

Ellen Tamboli practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-6605.

What is Ellen Tamboli's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Ellen Tamboli enrolled in Medicare?

Yes. Ellen Tamboli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ellen Tamboli affiliated with any hospitals?

According to CMS data, Ellen Tamboli is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Ellen Tamboli was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.