Individual provider Active NPI

Farwa Rubab, MD

  • Student in an Organized Health Care Education/Training Program
  • Winter Garden, FL
National Provider Identifier
1891538039
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
39242 Issued in FL
Practice address
2200 Fowler Grove Blvd Ste 200
Winter Garden, FL 34787-5597
Phone
(407) 656-0042
NPI assigned
Jun 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 39242 FL Primary

Addresses

Primary practice location

2200 Fowler Grove Blvd Ste 200
Winter Garden, FL 34787-5597

Mailing address

2728 Dade Ave Apt 2323
Orlando, FL 32804-4696
Phone (407) 233-6158

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
I20240621000511 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6204379092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jul 14, 2024 Accepting new patients
Florida Hospital Medical Group Inc PastSince Jul 14, 2024 Accepting new patients

Locations

2200 Fowler Grove Blvd
Ste 200
Winter Garden, FL 34787
Phone (407) 271-3607

Interoperability endpoints

  • Direct secure messaging: frubab3566302@adventhealth.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1891538039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 DADE AVE APT 2323",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044696",
            "telephone_number": "407-233-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 200",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "407-656-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBAB",
        "first_name": "FARWA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "39242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.