Individual provider Active NPI

Muhammad Tarik Shaaban, M.D.

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1801275276
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME136611 Issued in FL
Practice address
2306 Martin Luther King Jr Blvd
Panama City, FL 32405-4404
Phone
(850) 250-0021
Fax
(850) 250-0022
NPI assigned
May 19, 2015
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 ME136611 FL Primary

Addresses

Primary practice location

2306 Martin Luther King Jr Blvd
Panama City, FL 32405-4404

Mailing address

2306 N Highway 77
Panama City, FL 32405-5280
Phone (850) 250-0021

Other practice location 1

1931 Martin Luther King Jr Blvd
Panama City, FL 32405-5314
Phone (850) 740-5010

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
I20181002000118 FL Practitioner - Family Practice 9335458199 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Point Healthcare Urgent Care LLCGroup PAC ID 1951783455, 7 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

2306 Martin Luther King Jr Blvd
Panama City, FL 32405-4404
Phone (850) 250-0021

449 W 23Rd St
HCA Florida Gulf Coast Hospital
Panama City, FL 32405-4593
Phone (813) 873-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136611FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Florida, LLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Access Point Health Group, LLC CurrentSince Feb 11, 2024 Accepting new patients
Access Point Health Group, LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Jun 29, 2024 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

1931 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 215-7093

2306 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 250-0021

2306 N Highway 77
Panama City, FL 32405
Phone (850) 250-0021

449 W 23rd St
Fl Gulf
Panama City, FL 32405
Phone (813) 873-6400

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: muhammad.shaaban.1@29184.direct.athenahealth.com
  • Direct secure messaging: tshaaban@aphgl-fl.direct.office.nextgen.com

Organizations & group practices 5

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 5

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1801275276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 N HIGHWAY 77",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055280",
            "telephone_number": "850-250-0021",
            "fax_number": "850-250-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054404",
            "telephone_number": "850-250-0021",
            "fax_number": "850-250-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1931 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324055314",
            "country_code": "US",
            "telephone_number": "850-740-5010",
            "fax_number": "850-804-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAABAN",
        "first_name": "MUHAMMAD",
        "middle_name": "TARIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME136611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.