Organization Active NPI

Sunshine Physicians Inc

  • Internal Medicine Physician
  • Port Orange, FL
National Provider Identifier
1376998971
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNSHINE PHYSICIANS INC
Practice address
1730 Dunlawton Ave
Suite 1
Port Orange, FL 32127-8985
Phone
(386) 271-4412
Fax
(386) 271-4411
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Hassan Alkhatib, MDNPI 1952630105
Title
Ceo
Phone
(386) 271-4412

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 Primary

Addresses

Primary practice location

1730 Dunlawton Ave
Suite 1
Port Orange, FL 32127-8985

Mailing address

1730 Dunlawton Ave
Suite 1
Port Orange, FL 32127-8985
Phone (386) 271-4412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160613001112 FL Part B Supplier - Clinic/Group Practice 2769772235 Receives reassigned benefits from 2 practitioners
Practice locations: Port Orange, FL

National Provider Directory

National Provider Directory

Locations

1730 Dunlawton Ave
Ste 1
Port Orange, FL 32127
Phone (386) 271-4412

Practitioners & affiliated clinicians

Practitioners 4

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1376998971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 DUNLAWTON AVE",
            "address_2": "SUITE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278985",
            "telephone_number": "386-271-4412",
            "fax_number": "386-271-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 DUNLAWTON AVE",
            "address_2": "SUITE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278985",
            "telephone_number": "386-271-4412",
            "fax_number": "386-271-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "ALKHATIB",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-271-4412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.