FIKRI H SHABANAH M. D.
NPI 1427174697
Internal Medicine - Cardiovascular Disease in Coral Gables, FL
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
- PECOS Enrolled
- Opted-Out Medicare
About FIKRI SHABANAH
This page provides the complete NPI Profile along with additional information for Fikri Shabanah, an internist established in Coral Gables, Florida with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1427174697 assigned on March 2007. The practitioner's primary taxonomy code is 207RC0000X with license number 0019385 (FL). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1427174697 Verify this NPI
- Provider Name
- FIKRI H SHABANAH M. D.
- Other Name
- VICTOR H SHABANAH M. D.
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 495 BILTMORE WAY 306 CORAL GABLES, FL 33134
- Location Phone
- (305) 442-0015
- Location Fax
- (305) 442-0082
- Mailing Address
- 495 BILTMORE WAY 306 CORAL GABLES, FL 33134
- Mailing Phone
- (305) 442-0015
- Mailing Fax
- (305) 442-0082
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-21-2007
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Fikri Shabanah is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Fikri Shabanah opted out of Medicare effective on 07-09-2025 until 07-09-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0019385
- License State
- FL
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Medicare Participation & PECOS Enrollment Status
Fikri Shabanah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-09-2025
Opt-Out End Date: 07-09-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33134 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $141.56
- Minimum New Patient Price $60.92
- Maximum New Patient Price $187.05
- Average New Patient Copayment $35.39
- Minimum New Patient Copayment $15.23
- Maximum New Patient Copayment $46.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.86
- Minimum Established Patient Price $18.99
- Maximum Established Patient Price $150.24
- Average Established Patient Copayment $18.96
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.56
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
CORAL GABLES, FL 33134
CORAL GABLES, FL 33134
CORAL GABLES, FL 33134
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427174697, enumerated as an "individual" on March 21, 2007.
The provider is located at 495 BILTMORE WAY 306 CORAL GABLES, FL 33134 and the phone number is (305) 442-0015.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
