Active NPI
Faisal Tawwab, MD
- Family Medicine Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME123545
- Practice address
- 2605 W Lake Mary Blvd
Suite 119
Lake Mary, FL 32746-3568 - Phone
- (407) 878-7990
- NPI assigned
- May 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 46367 | KY | |
| Family Medicine Physician | 207Q00000X | 46367 | KY | |
| Family Medicine Physician | 207Q00000X | ME123545 | FL | Primary |
Addresses
Primary practice location
2605 W Lake Mary Blvd
Suite 119
Lake Mary, FL 32746-3568
Mailing address
2605 W Lake Mary Blvd Ste 111
Lake Mary, FL 32746-3568
Phone (407) 878-7990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100216480 | Medicaid | KY | |
| P01196100 | Other | KY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, FL, AR, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7474
303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5800
Hospital & facility affiliations
- Halifax Health /Uf Health Medical Center of Delton
- Baptist Health Deaconess Madisonville
- Deaconess Hospital Inc
- Halifax Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 82.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46367 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Family Medicine | Current | Accepting new patients |
| New Albany Hospitalist Group, LLC | Hospitalist | Current | Accepting new patients |
| Inpatient Consultants of Florida Inc | Hospitalist | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Hospitalist | Current | Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Southeastern Physician Services PC | Hospitalist | Current | Accepting new patients |
| St Claire Medical Center, Inc., | Family Medicine | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Family Medicine | Current | Accepting new patients |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| Hospitalist Physicians of Indiana, PC | Family Medicine | Current | Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Juveria Tawwab MD LLC | Family Medicine | Past | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Hospitalist | Past | Accepting new patients |
Locations
909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- faisal.tawwab.1@14252.direct.athenahealth.com
- ftawwab618803@direct.bsmhealth.org
- faisal.tawwab.1@20432.direct.athenahealth.com
Organizations & group practices 23
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.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Family Medicine
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Hospitalist
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
Family Medicine
-
- Hospitalist Physician
- New Albany, IN
- NPI 1255084752
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1396053096
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Family Medicine
-
- Pulmonary Disease Physician
- Owensboro, KY
- NPI 1841822327
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
-
- General Acute Care Hospital
- Deltona, FL
- NPI 1003465097
-
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1285927277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 W LAKE MARY BLVD STE 111",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463568",
"telephone_number": "407-878-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 W LAKE MARY BLVD",
"address_2": "SUITE 119",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463568",
"telephone_number": "407-878-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWWAB",
"first_name": "FAISAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-24",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "46367",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "46367",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME123545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100216480",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01196100",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.