Active NPI
Mutaz A Tabbaa, M.D.
- Specialist
- Panama City, FL
National Provider Identifier
1912198573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME48669
- Practice address
- 2559 Huntcliff LN
Panama City, FL 32405-4902 - Phone
- (850) 763-0333
- Fax
- (850) 763-1477
- NPI assigned
- Aug 7, 2007
- Last updated
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME48669 | FL | Primary |
Addresses
Primary practice location
2559 Huntcliff LN
Panama City, FL 32405-4902
Mailing address
2559 Huntcliff LN
Panama City, FL 32405-4902
Phone (850) 763-0333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D50170 | Other | FL | UPIN |
| 01496 | Other | FL | BCBS PROVIDER NUMBER |
| 044278000 | Medicaid | FL | |
| 130018687 | Other | FL | RAILROAD MEDICARE NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2559 Huntcliff LN
Panama City, FL 32405-4902
Phone (850) 763-0333
Hospital & facility affiliations
- Tender Touch Health Care Services
- Ascension Sacred Heart Bay
- HCA Florida Gulf Coast Hospital
- Ascension Sacred Heart Gulf
- Sacred Heart Hospital on the Emerald Coast
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME48669 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mutaz a. Tabbaa, M.D., P.a. | Specialist | Current | Accepting new patients |
Locations
2559 Huntcliff Ln
Panama City, FL 32405
Phone (850) 763-0333
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bay Neurological Institute
- Specialist
- Panama City, FL
- NPI 1205844396
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
dba Ascension Sacred Heart Bay
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- Home Health Agency
- Panama City, FL
- NPI 1851645360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1912198573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2559 HUNTCLIFF LN",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054902",
"telephone_number": "850-763-0333",
"fax_number": "850-763-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2559 HUNTCLIFF LN",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054902",
"telephone_number": "850-763-0333",
"fax_number": "850-763-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABBAA",
"first_name": "MUTAZ",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME48669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "D50170",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "01496",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044278000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "130018687",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
- Syed Gilani MD PA
- Syed K Mahmood P a
- Mary Jeanette Syfrett, PHARM D
- Nancy Janae Syfrett, ST
- Cindy Denise Sykes
- Rami Mutaz Tabbaa, DO, MS
- Evie-Noel Tafunai, APRN-C
- James McGhee Talkington, MD
- Tallahassee Neurology Specialists PL (Southeast Neurology and Pain Management)
- Tallahassee Orthopedic Clinic III PL (Tallahassee Orthopedic Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.