NPIMap

Individual provider Active NPI

Hussein A.J. Zabad, M.D.

  • Internal Medicine Physician
  • Palatka, FL
National Provider Identifier
1164415402
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71325 Issued in FL
Practice address
800 Zeagler Dr
Suite 430
Palatka, FL 32177-3867
Phone
(386) 326-0596
Fax
(386) 326-0598
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME71325 FL Primary

Addresses

Primary practice location

800 Zeagler Dr
Suite 430
Palatka, FL 32177-3867

Mailing address

800 Zeagler Dr
Suite 430
Palatka, FL 32177-3883
Phone (386) 326-0596

Other identifiers 1

IdentifierTypeStateIssuer
250882600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000905 FL Practitioner - Internal Medicine 0446296511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

800 Zeagler Dr
Suite 430
Palatka, FL 32177-3867
Phone (386) 326-0596

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME71325FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andre Vendryes MD PA PastSince Feb 12, 2005 Accepting new patients
Donald J. Morris, M.D., PA Past Accepting new patients

Organizations & group practices 4

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 6

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1164415402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "SUITE 430",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773883",
            "telephone_number": "386-326-0596",
            "fax_number": "386-326-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "SUITE 430",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773867",
            "telephone_number": "386-326-0596",
            "fax_number": "386-326-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABAD",
        "first_name": "HUSSEIN",
        "middle_name": "A.J.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250882600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.