Organization Active NPI

Syed Hassan MD PA

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1467870451
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71461 Issued in FL
Legal business name
SYED HASSAN MD PA
Practice address
3005 Caring Way
Units 2 and 3
Port Charlotte, FL 33952-5304
Phone
(941) 249-8493
Fax
(941) 249-8537
NPI assigned
Apr 7, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Syed Hassan, MDNPI 1881687507
Title
MD Owner
Phone
(941) 249-8493

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 ME71461 FL Primary

Addresses

Primary practice location

3005 Caring Way
Units 2 and 3
Port Charlotte, FL 33952-5304

Mailing address

3005 Caring Way
Units 2 and 3
Port Charlotte, FL 33952-5304
Phone (941) 249-8493

Other identifiers 1

IdentifierTypeStateIssuer
ME71461OtherFLSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140515001602 FL Part B Supplier - Clinic/Group Practice 1658594882 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL; Punta Gorda, FL

National Provider Directory

National Provider Directory

Locations

3524 Tamiami Trl
Unit K
Port Charlotte, FL 33952
Phone (941) 249-8493

2400 Harbor Blvd
Ste 20
Pt Charlotte, FL 33952
Phone (866) 714-5359

3005 Caring Way
Ste 2
Pt Charlotte, FL 33952
Phone (304) 615-6029

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCGCA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1467870451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 CARING WAY",
            "address_2": "UNITS 2 AND 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525304",
            "telephone_number": "941-249-8493",
            "fax_number": "941-249-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 CARING WAY",
            "address_2": "UNITS 2 AND 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525304",
            "telephone_number": "941-249-8493",
            "fax_number": "941-249-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED HASSAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "941-249-8493",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME71461",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.