Individual provider Active NPI

Caryn G Hasselbring, M.D.

  • Rheumatology Physician
  • Orlando, FL
National Provider Identifier
1124086699
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME0051093 Issued in FL
Practice address
3160 Southgate Commerce Blvd
Ste 30
Orlando, FL 32806-8549
Phone
(407) 859-4540
Fax
(407) 859-3815
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME0051093 FL Primary

Addresses

Primary practice location

3160 Southgate Commerce Blvd
Ste 30
Orlando, FL 32806-8549

Mailing address

3160 Southgate Commerce Blvd
Ste 30
Orlando, FL 32806-8549
Phone (407) 859-4540

Other identifiers 1

IdentifierTypeStateIssuer
046298500MedicaidFL

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
I20130228000207 FL Practitioner - Rheumatology 1456506252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Washington University School of Medicine, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Rheumatology Associates of Central Florida PAGroup PAC ID 5890739247, 3 clinicians

Practice addresses (Care Compare)

3160 Southgate Commerce Blvd
Suite 30
Orlando, FL 32806-8557
Phone (407) 859-4540

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as group
Quality
88.63
Improvement activities
40
Cost
91.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0051093FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Central Florida PA CurrentSince Aug 7, 1987 Accepting new patients

Locations

3160 Southgate Commerce Blvd
Ste 30
Orlando, FL 32806
Phone (407) 859-4540

Interoperability endpoints

  • Direct secure messaging: caryn.hasselbring.p1@direct.racf.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1124086699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 SOUTHGATE COMMERCE BLVD",
            "address_2": "STE 30",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068549",
            "telephone_number": "407-859-4540",
            "fax_number": "407-859-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 SOUTHGATE COMMERCE BLVD",
            "address_2": "STE 30",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068549",
            "telephone_number": "407-859-4540",
            "fax_number": "407-859-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSELBRING",
        "first_name": "CARYN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME0051093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046298500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.