Individual provider Active NPI

Nabeel M Shabout, M.D.

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1033160858
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L8502 Issued in TX
Practice address
3848 N Tarrant Pkwy Ste 100
Fort Worth, TX 76244-5420
Phone
(817) 753-6917
Fax
(817) 753-6921
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L8502 TX Primary

Addresses

Primary practice location

3848 N Tarrant Pkwy Ste 100
Fort Worth, TX 76244-5420

Mailing address

1325 Pennsylvania Ave
Suite 200
Fort Worth, TX 76104-2158
Phone (817) 332-9957

Other identifiers 1

IdentifierTypeStateIssuer
176759202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050705000809 TX Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 1557307113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, shared by 2 NPIs, 1,364 clinicians

Practice addresses (Care Compare)

10600 N Riverside Dr
Suite 100
Fort Worth, TX 76244-9505
Phone (817) 741-9663

10840 Texas Health TRL
Fort Worth, TX 76244-6846
Phone (682) 212-2000

3848 N Tarrant Pkwy
Suite 100
Fort Worth, TX 76244-5420

6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 433-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)18
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tess, PA Surgery Current Accepting new patients
Nabeel M Shabout MD PLLC Surgery CurrentSince Dec 9, 2013 Accepting new patients

Locations

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

3848 North Tarrant Pkwy
Ste 100
Fort Worth, TX 76244
Phone (817) 753-6917

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1325 Pennsylvania Ave
Ste 777
Ft Worth, TX 76104
Phone (817) 332-9957

1325 Pennsylvania Ave
Ste 200
Ft Worth, TX 76104
Phone (817) 250-4235

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1033160858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-332-9957",
            "fax_number": "817-336-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 N TARRANT PKWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445420",
            "telephone_number": "817-753-6917",
            "fax_number": "817-753-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABOUT",
        "first_name": "NABEEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L8502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176759202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.