Organization Active NPI

Syed Gilani MD PA

  • Specialist
  • Panama City, FL
National Provider Identifier
1801224852
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME77324 Issued in FL
Legal business name
SYED GILANI MD PA
Practice address
237 E Baldwin Rd
Suite 101
Panama City, FL 32405-4205
Phone
(850) 215-5885
Fax
(850) 215-5890
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Dr. Syed Gilani, MDNPI 1114036878
Title
Owner
Phone
(850) 215-5885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME77324 FL Primary

Addresses

Primary practice location

237 E Baldwin Rd
Suite 101
Panama City, FL 32405-4205

Mailing address

PO Box 15805
Panama City, FL 32406-5805
Phone (850) 215-5885

Other identifiers 3

IdentifierTypeStateIssuer
1114036878OtherFLNPI-INDIVIDUAL
ME77324OtherFLFL STATE LICENSE
256734200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131111000102 FL Part B Supplier - Clinic/Group Practice 8325273816 Receives reassigned benefits from 2 practitioners
Practice locations: Panama City, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1012228Syed Gilani MD PA237 E Baldwin Rd Ste 101, Panama City, FL 32405Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

237 E Baldwin Rd
Ste 101
Panama City, FL 32405
Phone (850) 215-5885

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1801224852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15805",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324065805",
            "telephone_number": "850-215-5885",
            "fax_number": "850-215-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 E BALDWIN RD",
            "address_2": "SUITE 101",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054205",
            "telephone_number": "850-215-5885",
            "fax_number": "850-215-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED GILANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "GILANI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-215-5885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME77324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1114036878",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "ME77324",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256734200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.