Individual provider Active NPI

Paul Shabaz, M.D.

  • Anesthesiology Physician
  • Annapolis, MD
National Provider Identifier
1881655991
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0059088 Issued in MD
Practice address
100 Stone Point Dr Unit 402
Annapolis, MD 21401-6984
Phone
(410) 605-7000
NPI assigned
Mar 29, 2006
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0059088 MD Primary
Anesthesiology Physician 207L00000X ME86771 FL

Addresses

Primary practice location

100 Stone Point Dr Unit 402
Annapolis, MD 21401-6984

Mailing address

100 Stone Point Dr Unit 402
Annapolis, MD 21401-6984
Phone (410) 573-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070306000196 DC Practitioner - Anesthesiology 4587767942 Reassigns benefits to 1 organization
I20081217000127 MD Practitioner - Anesthesiology 4587767942 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86771FLMDAnesthesiology Physician
D0059088MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Care Anesthesia LLC Anesthesiology Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1881655991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONE POINT DR UNIT 402",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016984",
            "telephone_number": "410-573-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONE POINT DR UNIT 402",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016984",
            "telephone_number": "410-605-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAZ",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0059088",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME86771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.