Individual provider Active NPI

Hassan Zulfiqar, MD

  • Gastroenterology Physician
  • Port Orange, FL
National Provider Identifier
1487684171
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME78417 Issued in FL
Practice address
870 Dunlawton Ave Ste 210a
Port Orange, FL 32127-9274
Phone
(386) 518-3671
Fax
(386) 233-7510
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME78417 FL Primary

Addresses

Primary practice location

870 Dunlawton Ave Ste 210a
Port Orange, FL 32127-9274

Mailing address

1690 Dunlawton Ave
Suite # 210
Port Orange, FL 32127-8980
Phone (386) 763-4920

Other practice location 1

400 Clyde Morris Blvd Ste A
Ormond Beach, FL 32174-8172
Phone (386) 518-3671

Other practice location 2

501 Live Oak St Ste B
New Smyrna Beach, FL 32168-7300
Phone (386) 518-3671

Other identifiers 2

IdentifierTypeStateIssuer
262929100MedicaidFL
46913OtherFLBCBS

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
I20070808000374 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2163317835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy221
Upper gastrointestinal (GI) endoscopy for acid reflux342

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Gastroenterology CurrentSince Jun 1, 2007 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jun 15, 2024 Accepting new patients

Locations

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

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

501 Live Oak St
Ste B
New Smyrna Beach, FL 32168
Phone (386) 424-5248

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

400 Clyde Morris Blvd
Ste A
Ormond Beach, FL 32174
Phone (386) 231-6500

61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

870 Dunlawton Ave
Ste 210A
Port Orange, FL 32127
Phone (386) 518-3671

1690 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 274-1744

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hzulfiqar57868@adventhealth.direct-ci.com
  • Direct secure messaging: hassanzulfiqar@fhcpfl.allscriptsdirect.net

Organizations & group practices 2

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 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1487684171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "SUITE # 210",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278980",
            "telephone_number": "386-763-4920",
            "fax_number": "386-763-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 DUNLAWTON AVE STE 210A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279274",
            "telephone_number": "386-518-3671",
            "fax_number": "386-233-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Clyde Morris Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321748172",
            "country_code": "US",
            "telephone_number": "386-518-3671",
            "fax_number": "386-233-7510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Live Oak St Ste B",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321687300",
            "country_code": "US",
            "telephone_number": "386-518-3671",
            "fax_number": "386-233-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZULFIQAR",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME78417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262929100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46913",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.