Individual provider Active NPI

Naseh Nawabi, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Coral Springs, FL
National Provider Identifier
1730526161
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME114198 Issued in FL
Practice address
10308 W Sample Road
Coral Springs, FL 33065
Phone
(818) 815-9172
Fax
(954) 755-0861
NPI assigned
May 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME114198 FL Primary

Addresses

Primary practice location

10308 W Sample Road
Coral Springs, FL 33065

Mailing address

PO Box 9851
Coral Springs, FL 33075-0851
Phone (818) 815-9172

Other identifiers 1

IdentifierTypeStateIssuer
46994OtherAZARIZONA LICENSE

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
I20160511002615 FL Practitioner - Pathology 3577865302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10308 W Sample Rd
Coral Springs, FL 33065-3942
Phone (954) 755-4880

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walking Urgent Care, Inc. CurrentSince May 1, 2016 Accepting new patients
CG Medical Associates Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

10308 W Sample Rd
Coral Springs, FL 33065
Phone (954) 659-3382

10308 W Sample Rd
Ste A
Coral Springs, FL 33065
Phone (954) 755-0861

8229 NW 88th Ave
Tamarac, FL 33321
Phone (513) 535-7181

Interoperability endpoints

  • Direct secure messaging: walkingurgentcareinc.nasehnawabi@160174.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1730526161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9851",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330750851",
            "telephone_number": "818-815-9172",
            "fax_number": "954-755-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10308 W SAMPLE ROAD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "818-815-9172",
            "fax_number": "954-755-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWABI",
        "first_name": "NASEH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME114198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LICENSE",
            "identifier": "46994",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.