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M RODWAN HIBA
NPI 1235246240
Internal Medicine - Gastroenterology in Brooksville, FL

Active since August 24, 2006
12102 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 597-4000(352) 597-0550 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About M Rodwan Hiba NPPES

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

M RODWAN HIBA (NPI 1235246240) is a healthcare organization registered as a gastroenterology in Brooksville, Florida and active in the NPI registry since August 2006. The organization lists Muhammed-rodwan Ali Hiba, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1235246240
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePREMIER GASTROENTEROLOGY PA
Location Address12102 CORTEZ BLVDBrooksville, FL 34613-5514
Mailing Address12102 Cortez BlvdBrooksville, FL 34613-5514 · (352) 597-4000 · Fax (352) 597-0550
Phone(352) 597-4000
Fax(352) 597-0550
Organization SubpartNo
Authorized OfficialMuhammed-rodwan Ali HibaOwner/ceo · (352) 597-4000
Enumeration DateAugust 24, 2006
Last NPPES UpdateJune 10, 2024
NPPES CertifiedOctober 18, 2021
✔ NPI 1235246240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME69833
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
12102 CORTEZ BLVD, Brooksville, FL 34613
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Other Names 1

Other NameM Rodwan Hiba

Other Identifiers 9

Other100016261Railroad Medicare
Other2987121Uhc
Other360846358First Health
Other2593473Ghi
Other7130182Aetna
Other2119601215701Beech St
Other1003105Humana
Medicaid2579162-0FL
Other49489Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M Rodwan Hiba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to M Rodwan Hiba, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Muhammed-Rodwan Hiba, MD
Gastroenterology
NPI 1194833392
12102 CORTEZ BLVD
Brooksville, FL 34613
(352) 597-4000
✔ PECOS✔ Accepts MedicareSame address
Lydia Campbell, APRN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467513085
15205 CORTEZ BLVD
Brooksville, FL 34613
(352) 597-7744
✔ Accepts Medicare3.1 mi
Julianna Whitehead, APRN
Nurse Practitioner
NPI 1821865882
16215 TOMAHAWK ST
Hudson, FL 34667
(727) 857-3893
✔ PECOS✔ Accepts Medicare12 mi
Korin-Marie Natarelli, APRN
Nurse Practitioner
NPI 1750952644
28516 STATE ROAD 54
Wesley Chapel, FL 33543
(813) 345-3829
✔ PECOS✔ Accepts Medicare23 mi
Christina Marsh, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710472998
3100 E FLETCHER AVE
Tampa, FL 33613
(813) 971-6000
✔ Accepts Medicare33 mi

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

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 Premier Gastroenterology PA's NPI number?

The NPI number for Premier Gastroenterology PA is 1235246240. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is also known as M Rodwan Hiba.

Where is Premier Gastroenterology PA located?

Premier Gastroenterology PA is located at 12102 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 597-4000.

What is Premier Gastroenterology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Premier Gastroenterology PA enrolled in Medicare?

Yes. Premier Gastroenterology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Gastroenterology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Premier Gastroenterology PA, in Certified Registered Nurse Anesthetist (CRNA), Gastroenterology and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Gastroenterology PA was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.