Individual provider Active NPI

Anam Tawwab, MD

  • Family Medicine Physician
  • Deltona, FL
National Provider Identifier
1851735682
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME131458 Issued in FL
Practice address
634 Deltona Blvd.
Suite a
Deltona, FL 32725-8112
Phone
(407) 878-7990
Fax
(407) 732-7631
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME131458 FL Primary
Family Medicine Physician 207Q00000X 48395 KY
Student in an Organized Health Care Education/Training Program 390200000X KY

Addresses

Primary practice location

634 Deltona Blvd.
Suite a
Deltona, FL 32725-8112

Mailing address

634 Deltona Blvd.
Suite a
Deltona, FL 32725-8112
Phone (407) 878-7990

Other identifiers 2

IdentifierTypeStateIssuer
7100309420MedicaidKY
113081000MedicaidFL

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
I20171129003144 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 0042437253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Multicare Physicians PSCGroup PAC ID 7214227669, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2605 W Lake Mary Blvd
Suite 111
Lake Mary, FL 32746-3568
Phone (407) 878-7990

634 Deltona Blvd
Suite a
Deltona, FL 32725-8112
Phone (407) 878-7990

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131458FLMDFamily Medicine Physician
48395KYMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: anam.tawwab.1@14252.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1851735682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 DELTONA BLVD.",
            "address_2": "SUITE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258112",
            "telephone_number": "407-878-7990",
            "fax_number": "407-732-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 DELTONA BLVD.",
            "address_2": "SUITE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258112",
            "telephone_number": "407-878-7990",
            "fax_number": "407-732-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWWAB",
        "first_name": "ANAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131458",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "48395",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100309420",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113081000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.