Hadeel E Ali Hamdan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016804 Issued in FL

Practice address

2605 W Swann Ave Ste 100
Tampa, FL 33609-4039

Phone

(813) 874-5500

Fax

(813) 874-5506

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pinnacle Health Group PA 8 clinicians

Sports and Orthopedic Rehabilitation Services Inc 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hadeel.ali.hamdan.1@16839.direct.athenahealth.com

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.

• Pinnacle Health Group PA

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1023004231

  FL

  Medicare reassignment Care Compare group NPD
• Sports and Orthopedic Rehabilitation Services Inc

  • Physical Therapy Clinic/Center
  • New Port Richey, FL
  • NPI 1518357219
  Care Compare group
• Sports and Orthopedic Rehabilitation Services Inc

  • Physical Therapy Clinic/Center
  • Palm Harbor, FL
  • NPI 1932109071
  Care Compare group
• Sports and Orthopedic Rehabilitation Services, Inc.

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1336539030
  Care Compare group
• Sports and Orthopedic Rehabilitation Services, Inc.

  • Physical Therapy Clinic/Center
  • Sarasota, FL
  • NPI 1730719816
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816

  Hospital

  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1407501752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-874-5500",
            "fax_number": "813-874-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-874-5500",
            "fax_number": "813-874-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI HAMDAN",
        "first_name": "HADEEL",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APRN11016804",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TAMPA",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2605 W Swann Ave Ste 100",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336094039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hasan Alhasan, MD
• Bakr Alhayek, MD
• Mohammad Alhazaimeh
• Gary James Alhemovich, NP
• Ali Family Dental LLC
• Suhad Saleh Ali Mohammed
• Khadra S Ali-Mohamed, DO
• Aariha Imtiaz Ali, MD
• Alaa Ali, MD
• Basima Ali

• All providers in Tampa, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.