Individual provider Active NPI

Fadi Saba, M.D.

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1588658348
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71448 Issued in FL
Practice address
1839 Central Ave
St Petersburg, FL 33713-8900
Phone
(727) 322-1054
Fax
(727) 821-7213
NPI assigned
Sep 8, 2005
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME71448 FL Primary

Addresses

Primary practice location

1839 Central Ave
St Petersburg, FL 33713-8900

Mailing address

1839 Central Avenue
St Petersburg, FL 33713-8900
Phone (727) 322-1054

Other identifiers 3

IdentifierTypeStateIssuer
32678OtherFLBC FL
110175502OtherFLRAILROAD MEDICARE
255292200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001037 FL Practitioner - Internal Medicine 1153224175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Clinical Partners, LLCGroup PAC ID 5597162693, 8 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

1031 W Magnolia St
Leesburg, FL 34748-5730
Phone (800) 632-6228

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

2201 Wilton Dr
Dba PHC Health and Wellness
Wilton Manors, FL 33305-2140
Phone (727) 322-1054

6280 Central Ave
Suite H2
St Petersburg, FL 33707-1429
Phone (800) 699-9395

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal201
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Comprehensive Hospital Physicians of Florida Inc Internal Medicine CurrentSince Apr 6, 2024 Accepting new patients
Pathways Clinical Partners, LLC CurrentSince Jan 1, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Apr 17, 1997 Accepting new patients
Professional Health Care of Pinellas LLC Internal Medicine CurrentSince May 21, 1997 Accepting new patients
QMC LLC Past Accepting new patients
Community Industrial Medicine PL PastSince Oct 3, 2006 Accepting new patients

Locations

1270 Turner St
Clearwater, FL 33756
Phone (727) 443-7639

2251 Drew St
Ste A
Clearwater, FL 33765
Phone (727) 591-9010

1031 W Magnolia St
Leesburg, FL 34748
Phone (352) 315-0459

6020 Indiana Ave
New Prt Rchy, FL 34653
Phone (352) 860-0200

6502 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 541-5544

10875 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 392-2247

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

3636 10th Ave N
St Petersburg, FL 33713
Phone (727) 323-3611

5500 Mlk Jr St N
St Petersburg, FL 33703
Phone (727) 525-5500

7101 Mlk Jr St N
St Petersburg, FL 33702
Phone (727) 527-7231

8133 54th Ave N
St Petersburg, FL 33709
Phone (727) 541-4458

2201 Wilton Dr
Wilton Manors, FL 33305
Phone (954) 545-2235

Interoperability endpoints

  • Direct secure messaging: fadi.saba@phcopi.eclinicaldirectplus.com
  • Direct secure messaging: fsaba189008@orlandohealth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pinellas Point Nursing and Rehab CenterSt Petersburg, FL, CCN 105878 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 23, 2018
Jan 23, 2018
Eagle Lake Nursing and Rehab Care CenterHillsborough, FL, CCN 105292 Skilled nursing facility Adp of the SNF Feb 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1588658348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVENUE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABA",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FL",
            "identifier": "32678",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110175502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255292200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.