Individual provider Active NPI

Syed Anwar Kamal Gilani, MD

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1114036878
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77324 Issued in FL
Practice address
237 E Baldwin Road
Suite 101
Panama City, FL 32405
Phone
(850) 215-5885
Fax
(850) 215-5890
NPI assigned
Aug 29, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME77324 FL Primary

Addresses

Primary practice location

237 E Baldwin Road
Suite 101
Panama City, FL 32405

Mailing address

PO Box 15805
Panama City, FL 32406-0000
Phone (850) 215-5885

Other identifiers 3

IdentifierTypeStateIssuer
256734200MedicaidFL
ME77324OtherFLSTATE LICENSE
46881GOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040621001534 FL Practitioner - Internal Medicine 3375528649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

237 E Baldwin Rd
Suite 101
Panama City, FL 32405-4205
Phone (850) 215-5885

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77324FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syed Gilani MD PA CurrentSince Apr 3, 2003 Accepting new patients
Primary Care Center, P.a. Internal Medicine Past Accepting new patients
Primary Care Center of Lynn Haven Internal Medicine Past Accepting new patients
Dassee Community Health Systems Past Accepting new patients

Locations

237 E Baldwin Rd
Ste 101
Panama City, FL 32405
Phone (850) 215-5885

Organizations & group practices 4

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 10

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114036878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15805",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324060000",
            "telephone_number": "850-215-5885",
            "fax_number": "850-215-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 E BALDWIN ROAD",
            "address_2": "SUITE 101",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-215-5885",
            "fax_number": "850-215-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILANI",
        "first_name": "SYED",
        "middle_name": "ANWAR KAMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256734200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME77324",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "46881G",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.