Active NPI
Saba Shabnam, MD
- Family Medicine Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M2797
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Cities Health LLC | Family Medicine | Current | Accepting new patients |
| R Edward Roybal MD PA | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past | 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
- https://fhir4.healow.com/fhir/r4/EHEADA/Endpoint/EHEADA
- saba.shabnam.1@13957.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Grapevine, TX
- NPI 1679967145
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Plano, TX
- NPI 1619922549
-
- Specialist
- Euless, TX
- NPI 1417128273
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Grapevine
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.