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ABUBAKER SHADOUL MOHAMED FARAH M.D.
NPI 1104564525
Internal Medicine in Tavares, FL

Active since May 25, 2022PECOS EnrolledAccepts Medicare Assignment
1000 WATERMAN WAY, TAVARES, FL 32778(352) 742-3578(352) 742-3581 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2025, Jan 26, 2023, May 25, 2022 (3 updates tracked since 2022).

About Abubaker Shadoul Mohamed Farah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABUBAKER SHADOUL MOHAMED FARAH M.D. (NPI 1104564525) is an individual internal medicine provider in Tavares, Florida, licensed in Florida (ME171818) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1104564525
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameABUBAKER SHADOUL MOHAMED FARAHCredential: M.D.
Location Address1000 WATERMAN WAYTavares, FL 32778-5266
Mailing Address770 W Granada Blvd Ste 101Ormond Beach, FL 32174-5179 · (386) 231-4746 · Fax (386) 368-8927
Phone(352) 742-3578
Fax(352) 742-3581
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 25, 2022
Last NPPES UpdateAugust 25, 20253 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1104564525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME171818
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 WATERMAN WAY, Tavares, FL 32778
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Secondary Practice Location 1

Location 14201 St. Antoine, University Health Center, Suite 6ADetroit, MI 48201 · Phone (313) 745-4627

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abubaker Shadoul Mohamed Farah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496269946
PECOS Enrollment IDI20250708002578
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Abubaker Farah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Healthcare Partners, Inc
47 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100084
Location600 E Dixie AveLeesburg, FL 34748 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32778 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEEN JOY MCGOWAN
Nurse Anesthetist, Certified Registered
1000 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 253-3333
KELLY BERG PA-C
Physician Assistant (Surgical)
1000 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 253-3333
JIGNA HITESH SHAH M.D.
Internal Medicine
1000 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 636-2286
SABINE CADET CRNA
Nurse Anesthetist, Certified Registered
1000 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 253-3487
MR. DONALD KEITH MARTINO CRNA
Nurse Anesthetist, Certified Registered
1000 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 253-3333
CARLOS CAPARAS PTA
Physical Therapy Assistant
1000 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 253-3333
NICHOLAS WILLIAM MCALISTER D.O.
Emergency Medicine
1000 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 253-3765
SCOTT JAY BULLARD MD
Anesthesiology
1000 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 253-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abubaker Farah's NPI number?

The NPI number for Abubaker Farah is 1104564525. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Abubaker Farah located?

Abubaker Farah practices at 1000 Waterman Way, Tavares, FL 32778. The listed phone number is (352) 742-3578.

What is Abubaker Farah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abubaker Farah enrolled in Medicare?

Yes. Abubaker Farah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Abubaker Farah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abubaker Farah reassigns Medicare benefits to Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abubaker Farah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Abubaker Farah affiliated with any hospitals?

According to CMS data, Abubaker Farah is affiliated with Adventhealth Orlando, Adventhealth Waterman and Uf Health Leesburg Hospital.

When was this NPI record last updated?

The NPPES record for Abubaker Farah was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.