Individual provider Active NPI

Saba Shabnam, MD

  • Family Medicine Physician
  • Grapevine, TX
National Provider Identifier
1225091655
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2797 Issued in TX
Practice address
1615 Lancaster Dr Ste 107
Grapevine, TX 76051-2111
Phone
(817) 510-9645
Fax
(817) 685-6047
NPI assigned
Apr 7, 2006
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2797 TX Primary

Addresses

Primary practice location

1615 Lancaster Dr Ste 107
Grapevine, TX 76051-2111

Mailing address

1615 Lancaster Dr Ste 107
Grapevine, TX 76051-2111
Phone (817) 510-9645

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
I20070525000542 TX Practitioner - Family Practice 8921049784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1615 Lancaster Dr
Suite 107
Grapevine, TX 76051-2111
Phone (817) 510-9645

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Cities Health LLC Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
R Edward Roybal MD PA PastSince Apr 28, 2008 Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Kaner Medical Group PA Family Medicine Past Accepting new patients

Locations

451 Westpark Way
Ste 1
Euless, TX 76040
Phone (817) 354-7300

1601 Lancaster Dr
Ste 160
Grapevine, TX 76051
Phone (817) 510-9645

1615 Lancaster Dr
Ste 107
Grapevine, TX 76051
Phone (817) 488-5555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHEADA/Endpoint/EHEADA
  • Direct secure messaging: saba.shabnam.1@13957.direct.athenahealth.com
  • Direct secure messaging: saba.shabnam@mchl.eclinicaldirectplus.com

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 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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1225091655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DR STE 107",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-510-9645",
            "fax_number": "817-685-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DR STE 107",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-510-9645",
            "fax_number": "817-685-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABNAM",
        "first_name": "SABA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.