Individual provider Active NPI

Mohamad Al Jabban, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1831291764
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME131481 Issued in FL
Practice address
3160 Southgate Commerce Blvd
Orlando, FL 32806-8549
Phone
(407) 859-4540
Fax
(407) 671-4155
NPI assigned
Sep 1, 2006
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME131481 FL Primary
Internal Medicine Physician 207R00000X 4301054851 MI

Addresses

Primary practice location

3160 Southgate Commerce Blvd
Orlando, FL 32806-8549

Mailing address

1121 N Central Ave
Kissimmee, FL 34741-4405
Phone (407) 305-8093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110310000161 MI Practitioner - Internal Medicine 0840472981 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians
M Al-Jabban MD PLCGroup PAC ID 2860657889, 3 clinicians

Practice addresses (Care Compare)

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000

193 E Jefferson St
Frankenmuth, MI 48734-1935

420 S Saginaw St
Flint, MI 48502-1803
Phone (810) 232-3522

5232 Richfield Rd
Flint, MI 48506-2182
Phone (810) 736-0970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301054851MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Jan 1, 2002 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Apr 22, 2017 Accepting new patients
Jawad a Shah MD PC CurrentSince Dec 1, 2025 Accepting new patients
Henry Ford Health Genesys Hospital CurrentSince Jan 1, 2002 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Apr 22, 2017 Accepting new patients
M Al-Jabban MD PLC Internal Medicine CurrentSince Jun 26, 2012 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Jawad a Shah, MD PC CurrentSince Dec 1, 2025 Accepting new patients
Genesys Integrated Group Practice PC Past Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

3021 S Dort Hwy
Flint, MI 48507
Phone (810) 844-9160

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

5232 Richfield Rd
Flint, MI 48506
Phone (810) 736-0970

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: maljabban1159529@direct.hfhs.org
  • Direct secure messaging: mohamadaljabban@pmi.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassion Care Hospice LLCGrand Blanc, MI, CCN 231663 Hospice Contracted Managing Employee Aug 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 6

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1831291764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-305-8093",
            "fax_number": "407-671-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 SOUTHGATE COMMERCE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068549",
            "telephone_number": "407-859-4540",
            "fax_number": "407-671-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL JABBAN",
        "first_name": "MOHAMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME131481",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301054851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.