Nabeel M Shabout MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L8502 Issued in TX

Legal business name

NABEEL M SHABOUT MD PLLC

Practice address

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

Phone

(817) 753-6917

Fax

(817) 753-6921

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Jacqueline Rodriquez

Title

Office Manager

Phone

(817) 944-4065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nabeel M Shabout, M.D.

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1033160858
  Medicare reassignment NPD

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678579200000",
    "number": "1144642174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "NABEEL M SHABOUT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "RODRIQUEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-944-4065"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "L8502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.