Individual provider Active NPI

Abdul Sorathia, MD

  • Hematology & Oncology Physician
  • Daytona Beach, FL
National Provider Identifier
1336241413
Registry record updated Feb 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME67542 Issued in FL
Practice address
303 N Clyde Morris Blvd
Halifax Regional Oncology Center
Daytona Beach, FL 32114-2709
Phone
(386) 254-4212
Fax
(386) 254-4214
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME67542 FL Primary
Medical Oncology Physician 207RX0202X ME67542 FL

Addresses

Primary practice location

303 N Clyde Morris Blvd
Halifax Regional Oncology Center
Daytona Beach, FL 32114-2709

Mailing address

303 N Clyde Morris Blvd
Halifax Regional Oncology Center
Daytona Beach, FL 32114-2709
Phone (386) 254-4212

Other identifiers 1

IdentifierTypeStateIssuer
378985300MedicaidFL

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
I20071008000514 FL Practitioner - Medical OncologyPractitioner - Hematology 9931294733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 322-4700

1185 Dunlawton Ave
Suite 105
Port Orange, FL 32127-2908
Phone (386) 322-4750

1688 W Granada Blvd
Ormond Beach, FL 32174-1818

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Medical Oncology CurrentSince Jun 1, 2007 Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients
Florida ENT Associates, Inc. Past Accepting new patients

Locations

431 S Keech St
Daytona Beach, FL 32114
Phone (386) 947-3553

303 N Clyde Morris Blvd
Fl 10
Daytona Beach, FL 32114
Phone (386) 425-2360

303 N Clyde Morris Blvd
Fl 2
Daytona Beach, FL 32114
Phone (386) 425-4211

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

Use Ci1660
Orlando, FL 32886

1185 Dunlawton Ave
Ste 104
Port Orange, FL 32127
Phone (386) 767-5477

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456531200000",
    "number": "1336241413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "address_2": "HALIFAX REGIONAL ONCOLOGY CENTER",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-254-4212",
            "fax_number": "386-254-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "address_2": "HALIFAX REGIONAL ONCOLOGY CENTER",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-254-4212",
            "fax_number": "386-254-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORATHIA",
        "first_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME67542",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME67542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378985300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.