NPIMap

Individual provider Active NPI

Imad Tahbub, MD

  • Hospitalist Physician
  • Orlando, FL
National Provider Identifier
1639482391
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME115836 Issued in FL
Practice address
5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643
Phone
(407) 352-2542
Fax
(407) 352-2547
NPI assigned
Jul 22, 2010
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME115836 FL Primary

Addresses

Primary practice location

5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643

Mailing address

5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643
Phone (407) 352-2542

Other practice location 1

1726 Markham Glen Cir
Longwood, FL 32779-2797
Phone (914) 233-4678

Other practice location 2

18550 US Highway 441 Ste A
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Other practice location 3

4882 Quality Trl
Orlando, FL 32829-8203
Phone (407) 440-3004

Other identifiers 2

IdentifierTypeStateIssuer
14R7COtherFLBCBS
009088400MedicaidFL

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
I20130820000440 FL Practitioner - Internal Medicine 0648412791 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians
Astha HealthGroup PAC ID 9931589892, 30 clinicians

Practice addresses (Care Compare)

200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 647-2346

525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346

804 Emmett St
Kissimmee, FL 34741-5434
Phone (407) 785-1111

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

State licenses

LicenseStateTypeSpecialty
ME115836FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Cogent Healthcare of Pensacola LLC Hospitalist Current Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Medicine Associates Imac PL Hospitalist CurrentSince May 1, 2023 Accepting new patients
Winter Park Family Physicians LLC CurrentSince Apr 1, 2017 Accepting new patients
Ahmad B Amawi, PA CurrentSince Apr 1, 2017 Accepting new patients
Astha Health Hospitalist CurrentSince Jun 1, 2022 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Mar 3, 2018 Accepting new patients
Greater Orlando Hospitalists CurrentSince May 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Ernesto Zavaleta, MD, PA PastSince Jul 1, 2013 Accepting new patients

Locations

478 E Altamonte Dr
Ste 108
Altamonte Springs, FL 32701
Phone (407) 260-5455

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

804 Emmett St
Kissimmee, FL 34741
Phone (407) 449-4559

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone (321) 732-5617

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000

4355 Bear Gully Rd
Ste 1024
Winter Park, FL 32792
Phone (407) 331-4115

Interoperability endpoints

  • Direct secure messaging: itahbub26196@orlandohealth.medalliesdirect.net

Organizations & group practices 11

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 7

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1639482391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094643",
            "telephone_number": "407-352-2542",
            "fax_number": "407-352-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094643",
            "telephone_number": "407-352-2542",
            "fax_number": "407-352-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1726 Markham Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327792797",
            "country_code": "US",
            "telephone_number": "914-233-4678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18550 US Highway 441 Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576751",
            "country_code": "US",
            "telephone_number": "352-735-3755",
            "fax_number": "352-307-8442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4882 Quality Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328298203",
            "country_code": "US",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHBUB",
        "first_name": "IMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME115836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14R7C",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009088400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.