Individual provider Active NPI

Faisal Tawwab, MD

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1285927277
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME123545 Issued in FL
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

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100216480MedicaidKY
P01196100OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL, AR, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120904000084 KY Practitioner - Family Practice 8921255530 Reassigns benefits to 4 organizations
I20160422001106 FL Practitioner - Family Practice 8921255530 Reassigns benefits to 3 organizations
I20200921002740 AR Practitioner - HospitalistPractitioner - Family Practice 8921255530 Reassigns benefits to 2 organizations
I20230815003362 IN Practitioner - Family Practice 8921255530 Reassigns benefits to 3 organizations

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
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians
Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

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 Hospital, Deltona, FL, CCN 100330
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
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

LicenseStateTypeSpecialty
46367KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Deaconess Hospital, Inc Family Medicine CurrentSince Aug 7, 2024 Accepting new patients
New Albany Hospitalist Group, LLC Hospitalist CurrentSince Oct 10, 2023 Accepting new patients
Inpatient Consultants of Florida Inc Hospitalist CurrentSince Jun 1, 2016 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2016 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Inpatient Consultants of Florida, Inc Hospitalist CurrentSince Jun 1, 2016 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Southeastern Physician Services PC Hospitalist CurrentSince Jan 14, 2015 Accepting new patients
St Claire Medical Center, Inc., Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
St Claire Medical Center, Inc CurrentSince Oct 1, 2019 Accepting new patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Sep 3, 2023 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 7, 2024 Accepting new patients
Deaconess Hospital, Inc CurrentSince Aug 7, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2016 Accepting new patients
St Bernards Hospital Inc. CurrentSince Dec 1, 2020 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

  • Direct secure messaging: faisal.tawwab.1@14252.direct.athenahealth.com
  • Direct secure messaging: ftawwab618803@direct.bsmhealth.org
  • Direct secure messaging: 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.

View all 23

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.