FATIMA TAHERA DIABAN DO
NPI 1336586098
Internal Medicine - Critical Care Medicine in Green Bay, WI

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8000 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2023, Nov 30, 2021 (2 updates tracked since 2021).

About Fatima Tahera Diaban Do NPPES

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

FATIMA TAHERA DIABAN DO (NPI 1336586098) is an individual critical care medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (72292) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Hca Florida South Tampa Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336586098
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameFATIMA TAHERA DIABANCredential: DO
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · Fax (586) 582-6631
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 4, 2013
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1336586098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in WI · 72292✔ Licensed in IL · 036-163968
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101020612 (MI)
2845 GREENBRIER RD, Green Bay, WI 54311

Secondary Practice Locations 2

Location 111885 E 12 Mile Rd Ste 300AWarren, MI 48093-3467 · Phone (586) 582-6630 · Fax (586) 582-6631
Location 22320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-2000

Other Identifiers 1

Medicaid100106465WI

Accepted Insurance

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

Fatima Tahera Diaban Do 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 ID1254638778
PECOS Enrollment IDI20260521004613
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 Reassignments

3

Medicare enrollment records show Fatima Diaban reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
Critical Care Medicine
2901 W SWANN AVE
Tampa, FL 33609
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
Specialist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 287 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida South Tampa Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100206
Location2901 W Swann AveTampa, FL 33609 · Hillsborough County
Emergency services

Hca Florida South Shore Hospital

Acute Care Hospitals · Sun City Center, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100259
Location4016 Sun City Center BlvdSun City Center, FL 33573 · Hillsborough County
Emergency services

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Internal Medicine (Hematology & Oncology)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Neurological Surgery
2845 GREENBRIER RD
GREEN BAY, WI 54311
Physical Therapist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Hospitalist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Nurse Anesthetist, Certified Registered
2845 GREENBRIER RD
GREEN BAY, WI 54311

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 Fatima Diaban's NPI number?

The NPI number for Fatima Diaban is 1336586098. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Fatima Diaban located?

Fatima Diaban practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (920) 288-8000.

What is Fatima Diaban's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Fatima Diaban enrolled in Medicare?

Yes. Fatima Diaban 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 organizations bill Medicare for Fatima Diaban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatima Diaban reassigns Medicare benefits to 3 organizations: Lutheran General Hospital (Park Ridge, IL), Intensivist Medicine Services Of Fl, LLC (Tampa, FL) and Intensive Care Consortium Inc (Aventura, FL). Each 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 Fatima Diaban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fatima Diaban accept?

Health plans from Oscar Health Maintenance Organization of Florida list Fatima Diaban as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fatima Diaban affiliated with any hospitals?

According to CMS data, Fatima Diaban is affiliated with Hca Florida South Tampa Hospital, Hca Florida South Shore Hospital and Aurora Baycare Medical Ctr.

When was this NPI record last updated?

The NPPES record for Fatima Diaban was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.