MS. TANIMA YAIBUATHES NP
NPI 1669768255
Nurse Practitioner - Adult Health in Commack, NY

Q: What is Tanima Yaibuathes's NPI number?

The NPI number for Tanima Yaibuathes is 1669768255. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Q: What is Tanima Yaibuathes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Tanima Yaibuathes was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since June 22, 2011PECOS Enrolled

149 COMMACK RD STE A, COMMACK, NY 11725(631) 462-2200 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Tanima Yaibuathes Np NPPES

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

MS. TANIMA YAIBUATHES NP (NPI 1669768255) is an individual adult health provider in Commack, New York, licensed in New York (F305522-1) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669768255

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. TANIMA YAIBUATHESCredential: NP

Location Address149 COMMACK RD STE ACommack, NY 11725-3459

Mailing Address25 Hillberry LnHolbrook, NY 11741-2044 · (631) 588-5211

Phone(631) 462-2200

Sole ProprietorNo

Enumeration DateJune 22, 2011

✔ NPI 1669768255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F305522-1

149 COMMACK RD STE A, Commack, NY 11725

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tanima Yaibuathes Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tanima Yaibuathes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Internists, University Faculty Practice Corporation

9.8 mi

Internal Medicine

SUNY @ STONY BROOK, HSC, L16, RM 020
Stony Brook, NY 11794

Reassigned Medicare billing, New York enrollment
261 clinicians in this Medicare group

NPI 1821035601 (631) 444-2448

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers12 claims164 services$17.48 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

23 suppliers47 claims112 services$5.21 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers21 claims26 services$1.06 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

1 supplier16 claims16 services$274.42 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers146 claims150 services$197.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tanima Yaibuathes's NPI number?

The NPI number for Tanima Yaibuathes is 1669768255. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Tanima Yaibuathes located?

Tanima Yaibuathes practices at 149 Commack Rd Ste A, Commack, NY 11725. The listed phone number is (631) 462-2200.

What is Tanima Yaibuathes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tanima Yaibuathes enrolled in Medicare?

Yes. Tanima Yaibuathes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tanima Yaibuathes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanima Yaibuathes reassigns Medicare benefits to Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanima Yaibuathes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tanima Yaibuathes was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.