Mohamed Moataz Toban, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

15230 Issued in TN

Practice address

650 Joel Dr
Fort Campbell, KY 42223

Phone

(270) 412-5122

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Dr. M Moataz Toban Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Select Specialty Hospital Gainesville LLC

  • Hospitalist Physician
  • Gainesville, FL
  • NPI 1396055604
  NPD
• Select Specialty Hospital Gainesville LLC

  • Long Term Care Hospital
  • Gainesville, FL
  • NPI 1992904163
  NPD
• Blanchfield Army Community Hospital

  • Military Hospital
  • Fort Campbell, KY
  • NPI 1396986220
  NPD (past)
• Omni Healthcare, Inc.

  • Specialist
  • Melbourne, FL
  • NPI 1134191323

  Pulmonary Disease

  NPD (past)
• Sleep Ez LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Columbia, TN
  • NPI 1881751618
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1235289208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 22ND ST",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235562",
            "telephone_number": "270-412-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-412-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N Banana River Dr",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329522596",
            "country_code": "US",
            "telephone_number": "321-208-8361",
            "fax_number": "321-305-6381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBAN",
        "first_name": "MOHAMED",
        "middle_name": "MOATAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME98765",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 98765",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME98765",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "15230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00921814",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "14AA3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "TOBAN",
            "middle_name": "MOATAZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William G Thompson, LICENSED SOCIAL WORK
• Matthew Ticich, DMD
• Mikel Tihista
• Tessa Tilton, EFDA
• Bobbie R Toban, FNP
• Taylor Danielle Todd, RDH
• Nicholas Tommas
• Carlos Rene Torres, DDS
• Christopher Oscar Torres, DDS
• Qamariyyah N Toure, RN

• Pulmonary Disease Physician in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.