Organization Active NPI

Firaz R Hosein DO PA

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1376732453
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8550 Issued in FL
Legal business name
FIRAZ R HOSEIN DO PA
Practice address
1 W Sample Rd
Suite 201
Pompano Beach, FL 33064
Phone
(954) 782-3170
Fax
(954) 782-3171
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Firaz Richard Hosein, DONPI 1972505410
Title
Owner
Phone
(954) 782-3170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS8550 FL Primary

Addresses

Primary practice location

1 W Sample Rd
Suite 201
Pompano Beach, FL 33064

Mailing address

P. O. Box 970465
Coconut Creek, FL 33097-0465
Phone (954) 782-3170

Other identifiers 1

IdentifierTypeStateIssuer
268249400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051202000525 FL Part B Supplier - Clinic/Group Practice 5597785717 Receives reassigned benefits from 2 practitioners
Practice locations: Lighthouse Point, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1376732453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 970465",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330970465",
            "telephone_number": "954-782-3170",
            "fax_number": "954-782-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD",
            "address_2": "SUITE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-782-3170",
            "fax_number": "954-782-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRAZ R HOSEIN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "HOSEIN",
        "authorized_official_first_name": "FIRAZ",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-782-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268249400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.