Shamim A Hasan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105410 Issued in FL

Practice address

1605 W Fairbanks Ave
Winter Park, FL 32789-4603

Phone

(407) 845-8356

NPI assigned

Mar 17, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shamim A Alim Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: shasan129283@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adventist Health System Sunbelt Inc

  • Family Medicine Physician
  • Winter Park, FL
  • NPI 1780777391
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234

  Physician Assistant

  Medicare reassignment NPD
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  NPD
• Adventist Health System-Sunbelt, Inc

  • Transplant Surgery Physician
  • Orlando, FL
  • NPI 1659439156
  NPD
• Florida Hospital Medical Group Inc

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Orlando Heart & Vascular Center LLC

  • Interventional Cardiology Physician
  • Orlando, FL
  • NPI 1033230347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1003130287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894603",
            "telephone_number": "407-845-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894603",
            "telephone_number": "407-845-8356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11317 Lake Underhill Rd",
            "address_2": "Suite 600.",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328254435",
            "country_code": "US",
            "telephone_number": "407-482-7788",
            "fax_number": "407-482-8698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SHAMIM",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMIM",
            "last_name": "ALIM",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Hartmann, BCABA
• Jeffrey Michael Hartog, JEFFREY HARTOG M.D.
• Michelle Glowacki Hartog, ARNP
• Charla Harvey-Jackson, APRN
• Nelson Harvey Jr.
• Ali Imran Hashmi
• Jeffrey S Haskel, DC
• William Lee Hataway, PT, DPT
• Adela Buczynski Hathaway
• Diane E Hathaway, MA, LMHC

• Physician Assistant in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.