Active NPI
Anas Fares, MD
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.147902
- Practice address
- 17 Davis Blvd Ste 308
Tampa, FL 33606-3438 - Phone
- (813) 974-2201
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 35.147902 | OH | Primary |
| Internal Medicine Physician | 207R00000X | ME174477 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | ME174477 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | 15101 | WI | |
| Interventional Cardiology Physician | 207RI0011X | ME174477 | FL |
Addresses
Primary practice location
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Mailing address
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 974-2201
Other practice location 1
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
Other practice location 2
3000 Arlington Ave
Toledo, OH 43614-2598
Phone (419) 383-4000
Other practice location 3
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Cardiac Vision LLC | Cardiovascular Disease | Current | Accepting new patients |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
Locations
7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
55 Hospital Dr
Ste 1
Athens, OH 45701
1341 Clark St
Ste 1
Cambridge, OH 43725
1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900
936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mahogany Home Health and Hospice, LLC | Hospice | Contracted Managing Employee | Mar 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1316759921
Contracted Managing Employee
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1144651373
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, KY
-
- Rural Health Clinic/Center
- Eastern, KY
- NPI 1164129599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1467080713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD STE 308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063438",
"telephone_number": "813-974-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD STE 308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063438",
"telephone_number": "813-974-2201"
}
],
"practiceLocations": [
{
"address_1": "2142 N Cove Blvd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436063895",
"country_code": "US",
"telephone_number": "419-291-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142598",
"country_code": "US",
"telephone_number": "419-383-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARES",
"first_name": "ANAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.147902",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME174477",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME174477",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "15101",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME174477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.