Individual provider Active NPI

Mohamad Khalid Jibawi, M.D.

  • Family Medicine Physician
  • New PRT Rchy, FL
National Provider Identifier
1114361441
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME127256 Issued in FL
Practice address
5522 Trouble Creek Rd Ste 102
New PRT Rchy, FL 34652-5171
Phone
(727) 788-3070
Fax
(727) 788-3072
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME127256 FL
Family Medicine Physician 207Q00000X ME127256 FL Primary

Addresses

Primary practice location

5522 Trouble Creek Rd Ste 102
New PRT Rchy, FL 34652-5171

Mailing address

5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 277-5348

Other identifiers 1

IdentifierTypeStateIssuer
017619500MedicaidFL

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
I20160804001718 FL Practitioner - Family PracticePractitioner - Hospitalist 5395039929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians

Practice addresses (Care Compare)

5522 Trouble Creek Rd
Suite 102
New Port Richey, FL 34652-5171
Phone (727) 788-3070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health Internal Medicine and Pediatrics CurrentSince Mar 1, 2017 Accepting new patients
Tampa General Hospital Current Accepting new patients
Access Health Care Physicians LLC Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

13911 Lakeshore Blvd
Ste 107
Hudson, FL 34667
Phone (727) 862-0569

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

7633 Cita Ln
New Port Richey, FL 34653
Phone (727) 372-1005

5522 Trouble Creek Rd
Ste 102
New Prt Rchy, FL 34652
Phone (727) 788-3070

7350 SW 60th Ave
Ste 2
Ocala, FL 34476
Phone (352) 854-5530

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mjibawi296097@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1114361441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 TROUBLE CREEK RD STE 102",
            "city": "NEW PRT RCHY",
            "state": "FL",
            "postal_code": "346525171",
            "telephone_number": "727-788-3070",
            "fax_number": "727-788-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIBAWI",
        "first_name": "MOHAMAD",
        "middle_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME127256",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME127256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017619500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New PRT Rchy, FL

Sources for this page

Verify at the official NPI Registry.