Individual provider Active NPI

Zynab Hassan, M.D.

  • Family Medicine Physician
  • Okeechobee, FL
National Provider Identifier
1205156643
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME116061 Issued in FL
Practice address
202 NE 2ND St
Suites 3 & 4
Okeechobee, FL 34972-2960
Phone
(863) 467-2159
Fax
(863) 763-0681
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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 ME116061 FL Primary

Addresses

Primary practice location

202 NE 2ND St
Suites 3 & 4
Okeechobee, FL 34972-2960

Mailing address

202 NE 2ND St
Suites 3 & 4
Okeechobee, FL 34972-2960
Phone (863) 467-2159

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
I20130802000194 FL Practitioner - Family Practice 6507007531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Urgent CareGroup PAC ID 7618389248, 11 clinicians

Practice addresses (Care Compare)

1115 S Federal Hwy
Fort Lauderdale, FL 33316-1256
Phone (225) 239-7190

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116061FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc Family Medicine CurrentSince May 1, 2016 Accepting new patients
Holy Cross Urgent Care CurrentSince Jan 1, 2021 Accepting new patients

Locations

1799 S Federal Hwy
#A
Boca Raton, FL 33432
Phone (561) 347-7933

23071 State Road 7
Boca Raton, FL 33428
Phone (561) 477-6000

3481 N University Dr
Coral Springs, FL 33065
Phone (954) 229-8634

1900 E Commercial Blvd
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 351-5838

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1115 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 764-6646

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

4100 W 150th St
Cleveland, OH 44135

Interoperability endpoints

  • Direct secure messaging: zhassan2022566@direct.trinity-health.org

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.

Hospital & facility affiliations 4

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1205156643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NE 2ND ST",
            "address_2": "SUITES 3 & 4",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722960",
            "telephone_number": "863-467-2159",
            "fax_number": "863-763-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NE 2ND ST",
            "address_2": "SUITES 3 & 4",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722960",
            "telephone_number": "863-467-2159",
            "fax_number": "863-763-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "ZYNAB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME116061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.