Physician Profile

Tara R. Ennis, MD

Unclaimed Profile

About Dr. Ennis

Tara R. Ennis, MD practices surgery in Fort Walton Beach, FL. Tara is a 2005 graduate of University of Alabama School of Medicine. Tara is also listed as specializing in specialist. Medicare claims data shows Tara provided 373 services to 355 patients. The services billed most often include new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

Specialty

Surgery (Primary)
Surgery (Additional)

Credentials & Licensing

FL licenseME121048
AL license28214
NPI1700961141
NPI issued10/26/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Ennis's specialty?

Dr. Ennis is a general surgeon in Fort Walton Beach, FL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Surgery”.

NPI registry

Where can I find Dr. Ennis?

Dr. Ennis is listed at 1042 Mar Walt Dr, Fort Walton Beach, FL 32547. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Ennis?

The number on file is (850) 863-0400. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Dr. Ennis?

Dr. Ennis's National Provider Identifier is 1700961141. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Dr. Ennis's medical education?

Dr. Ennis attended University of Alabama School of Medicine, graduating in 2005. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Ennis have?

Dr. Ennis has 21 years experience. Calculated from a graduation year of 2005, reported in the CMS National Downloadable File.

CMS public data

What is Dr. Ennis known for?

According to Medicare billing data, Dr. Ennis performs procedures including biopsy of breast and placement of locating device using ultrasound, first growth, insertion of central venous tube with port and removal of polyps or growths of large bowel using an endoscope with mechanical snare; reads or performs imaging such as fluoroscopic guidance for insertion or removal of central vein access device, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Dr. Ennis's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Ennis. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.