NPIMap

Individual provider Active NPI

Rezeq F El Bataineh, M.D.

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1609802073
Registry record updated Jan 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0070013 Issued in FL
Practice address
2575 Huntcliff LN
Panama City, FL 32405-4902
Phone
(850) 785-6272
Fax
(850) 785-8686
NPI assigned
Jun 25, 2006
Last updated
Jan 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0070013 FL Primary

Addresses

Primary practice location

2575 Huntcliff LN
Panama City, FL 32405-4902

Mailing address

2575 Huntcliff LN
Panama City, FL 32405-4902
Phone (850) 785-6272

Other identifiers 3

IdentifierTypeStateIssuer
593373618OtherFLTAX IDENTIFICATION
28519OtherFLBCBS OF FL
379350800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000199 FL Practitioner - Family Practice 5799711412 Practice locations: Panama City, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2575 Huntcliff LN
Panama City, FL 32405-4902
Phone (850) 785-6272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Vitreoretinal Associates, PL Past Accepting new patients
Rezeq Bataineh MD Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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
Clifford Chester Sims State Veterans' Nursing HomePanama City, FL, CCN 106056 Skilled nursing facility Adp of the SNF Feb 5, 2025
Aviata at Emerald ShoresCallaway, FL, CCN 105148 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2023
Dec 1, 2023

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 2

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 12

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422144000000",
    "number": "1609802073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-785-6272",
            "fax_number": "850-785-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-785-6272",
            "fax_number": "850-785-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL BATAINEH",
        "first_name": "REZEQ",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2015-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0070013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "593373618",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "28519",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379350800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.