Individual provider Active NPI

Huda Alaeddin, PA-C

  • Physician Assistant
  • Wesley Chapel, FL
National Provider Identifier
1083139265
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116820 Issued in FL
Practice address
2253 Green Hedges Way Ste 101
Wesley Chapel, FL 33544-6969
Phone
(813) 771-6851
Fax
(813) 771-6875
NPI assigned
Aug 8, 2017
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116820 FL Primary
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

2253 Green Hedges Way Ste 101
Wesley Chapel, FL 33544-6969

Mailing address

2253 Green Hedges Way Ste 101
Wesley Chapel, FL 33544-6969
Phone (813) 771-6851

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230227002707 FL Practitioner - Physician Assistant 6406120047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri Health Family Wellness Center LLCGroup PAC ID 1557743689, 7 clinicians

Practice addresses (Care Compare)

2253 Green Hedges Way
Suite 101
Wesley Chapel, FL 33544-6969
Phone (813) 771-6851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116820FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Health, PLLC Medical PastSince Jun 5, 2013 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1083139265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 GREEN HEDGES WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446969",
            "telephone_number": "813-771-6851",
            "fax_number": "813-771-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 GREEN HEDGES WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446969",
            "telephone_number": "813-771-6851",
            "fax_number": "813-771-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAEDDIN",
        "first_name": "HUDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116820",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.