Individual provider Active NPI

Hazem Louae Abugrara, M.D.

  • Hospitalist Physician
  • Tampa, FL
National Provider Identifier
1083905640
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME121863 Issued in FL
Practice address
3001 W Dr Martin Luther King Jr Blvd FL 3
Tampa, FL 33607-6307
Phone
(813) 870-4933
Fax
(813) 870-4887
NPI assigned
Apr 29, 2011
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME121863 FL
Hospitalist Physician 208M00000X ME121863 FL Primary

Addresses

Primary practice location

3001 W Dr Martin Luther King Jr Blvd FL 3
Tampa, FL 33607-6307

Mailing address

3001 W Dr MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4933

Other identifiers 1

IdentifierTypeStateIssuer
018145200MedicaidFL

Other names 1

  • Dr. Hazem L Abugrara Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913002547 FL Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - NephrologyPractitioner - Neurology 2769778075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

4501 Bruce B Downs Blvd
Suite 302
Wesley Chapel, FL 33544-9216
Phone (813) 914-1120

6633 Forest Ave
New Port Richey, FL 34653-2612

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Internal Medicine Current Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Oct 28, 2018 Accepting new patients
Baycare Medical Group, Inc CurrentSince Dec 14, 2020 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 14, 2020 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Oct 28, 2018 Accepting new patients
Healthpoint Medical Group Inc Internal Medicine Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

4211 Van Dyke Rd
Ste 200
Lutz, FL 33558
Phone (813) 264-6490

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

6901 Simmons Loop
Fl 4
Riverview, FL 33578
Phone (813) 302-8388

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3001 W Mlk Blvd
#3E
Tampa, FL 33607
Phone (813) 337-7535

3001 W Mlk Blvd
Fl 3
Tampa, FL 33607
Phone (813) 870-4933

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1083905640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W DR MLK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4933",
            "fax_number": "813-870-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W DR MARTIN LUTHER KING JR BLVD FL 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4933",
            "fax_number": "813-870-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUGRARA",
        "first_name": "HAZEM",
        "middle_name": "LOUAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121863",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME121863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018145200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEM",
            "last_name": "ABUGRARA",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.