Individual provider Active NPI

Hasan Ismail Zeya, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1154418572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 039421 Issued in FL
Practice address
4543 S Manhattan Ave
Suite 103
Tampa, FL 33611-2330
Phone
(813) 831-8888
Fax
(813) 831-6292
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 039421 FL Primary

Addresses

Primary practice location

4543 S Manhattan Ave
Suite 103
Tampa, FL 33611-2330

Mailing address

13746 Chestersall Dr
Tampa, FL 33624-2501
Phone (813) 486-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 039421FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Kidney Care PA PastSince Aug 16, 2010 Accepting new patients
VRT Healthcare Centers Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154418572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 CHESTERSALL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242501",
            "telephone_number": "813-486-3611",
            "fax_number": "813-264-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 S MANHATTAN AVE",
            "address_2": "SUITE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112330",
            "telephone_number": "813-831-8888",
            "fax_number": "813-831-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEYA",
        "first_name": "HASAN",
        "middle_name": "ISMAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 039421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.