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

NPI Status: Active since April 03, 2020

Contact Information

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136
Phone: (305) 243-6605
Fax: (305) 243-4650

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  • Individual
  • Female
  • Physical Medicine & Rehabilitation
  • PECOS Enrolled

About ELLEN TAMBOLI

This page provides the complete NPI Profile along with additional information for Ellen Tamboli, a provider established in Miami, Florida with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1629607494 assigned on April 2020. The practitioner's primary taxonomy code is 208100000X with license number OS22429 (FL). The provider is registered as an individual and her NPI record was last updated February 2026.

NPI
1629607494
Provider Name
ELLEN DZIERZAK TAMBOLI
Gender
Female
Entity Type
Individual
Location Address
1611 NW 12TH AVE MIAMI, FL 33136
Location Phone
(305) 243-6605
Location Fax
(305) 243-4650
Mailing Address
1611 NW 12TH AVE MIAMI, FL 33136
Mailing Phone
(305) 243-6605
Mailing Fax
(305) 243-4650
Is Sole Proprietor?
No
Enumeration Date
04-03-2020
Last Update Date
02-16-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
OS22429
License State
FL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

22429 (FL)

Medicare Participation & PECOS Enrollment Status

Ellen Tamboli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629607494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 1 + 2 + 0 + 1 + 4 + 4 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1629607494.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Critical Care Medicine)
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE, PHARMACY DEPARTMENT
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE, JACKSON MEMORIAL HOSPITAL PHARMACY DEPARTMENT
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE, ECC ET 1195
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE, JACKSON MEMORIAL HOSPITAL
MIAMI, FL 33136
Internal Medicine (Nephrology)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Nurse Practitioner (Family)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner
1611 NW 12TH AVE
MIAMI, FL 33136
Internal Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Critical Care Medicine)
1611 NW 12TH AVE, JACKSON HEALTH SYSTEM
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Ophthalmology
1611 NW 12TH AVE, M851
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE, SOUTH WING RM 300
MIAMI, FL 33136
Registered Nurse
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629607494, enumerated as an "individual" on April 03, 2020.

The provider is located at 1611 NW 12TH AVE MIAMI, FL 33136 and the phone number is (305) 243-6605.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.