Fatin Shakir Albezargan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME143731 Issued in FL

Practice address

3028 Caring Way Unit 9
Port Charlotte, FL 33952-5300

Phone

(941) 979-9246

Fax

(941) 979-9347

NPI assigned

Mar 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fatin Shakir Mohammed Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, AR2 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 2

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: falbezargan355832@direct.tgh.org
• Direct secure messaging: fatin.albezargan.1@4692.direct.athenahealth.com
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

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.

• Tampa General Medical Group Inc

  • Surgery Physician
  • Tampa, FL
  • NPI 1043557853
  Medicare reassignment Care Compare group NPD
• Arkansas Healthcare Services LLC

  • Urology Physician
  • Hot Springs, AR
  • NPI 1174582621
  Medicare reassignment NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Tampa General Medical Group Inc

  • Cardiovascular Disease Physician
  • Sun City Center, FL
  • NPI 1144910316
  NPD
• Tampa General Medical Group Inc

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1699182998
  NPD
• Mark S. Tracy, D.P.M., P.a.

  • Foot & Ankle Surgery Podiatrist
  • Port Charlotte, FL
  • NPI 1689847063
  NPD (past)
• Tampa General Medical Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1164769063
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1376842799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 CARING WAY UNIT 9",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525300",
            "telephone_number": "941-979-9246",
            "fax_number": "941-979-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 CARING WAY UNIT 9",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525300",
            "telephone_number": "941-979-9246",
            "fax_number": "941-979-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBEZARGAN",
        "first_name": "FATIN",
        "middle_name": "SHAKIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME143731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fatin.albezargan.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct address",
            "address_1": "1912 Kings Hwy Unit 700",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339804214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FATIN",
            "last_name": "MOHAMMED",
            "middle_name": "SHAKIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ajgs, Inc.
• Tareq Al-Khatib, MD
• Alan D. Shoopak D.M.D. ,P.a.
• Alan W Gruning DO & Associates PA
• Hassan Albassam, M.D.
• Alejandro Callejas MD
• Alejandro J. Gruneiro M.D. P.a.
• Veronica A Alessandro, ARNP-C
• Nicole Elizabeth Alessi, O.D.
• All American Anesthesia, LLC

• Family Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.

Verify at the official NPI Registry.