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

Active since June 04, 2013PECOS Enrolled
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: August 02, 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 Bay Area Medical Center, 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
Phone(920) 288-8000
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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-2000
Location 211885 E 12 Mile Rd Ste 300AWarren, MI 48093-3467 · Phone (586) 582-6630 · Fax (586) 582-6631

Other Identifiers 1

Medicaid100106465WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatima Tahera Diaban Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

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

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

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.

AMRITHA CHANDRAHASA KARKERA M.D.
Internal Medicine (Hematology & Oncology)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8000
MRS. AMY MACH SCHOENEBECK MS, CGC
Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4180
GERALD WILLIAM ECKARDT MD
Neurological Surgery
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8350
ELLEN LINSKENS PT
Physical Therapist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8000
KATIE LYNN LLOYD DO
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4060
BRADLEY JAY FEDDERLY MD
Hospitalist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8100
EDWARD C VOGEL MD
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4060
JOHN JEROME KLINKHAMMER CRNA
Nurse Anesthetist, Certified Registered
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-3388

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 enrollment system.

What insurance does Fatima Diaban accept?

Health plans from CareSource (Common Ground Healthcare) 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 Bay Area Medical Center, Aurora Baycare Medical Ctr and Hshs St Clare Memorial Hospital.

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 12 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.