Raed Abdula Hattab, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME148257 Issued in FL

Practice address

182 E Redstone Ave Ste a
Crestview, FL 32539-5371

Phone

(855) 527-7246

Fax

(866) 229-5063

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

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 2

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Rehab Associates PAGroup PAC ID 2668407131, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Regional Rehab Associates PA

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
  • NPI 1073714010
  Medicare reassignment Care Compare group NPD
• Gulf Coast Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Pensacola, FL
  • NPI 1669712287
  Medicare reassignment NPD
• Raed Hattab PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Lauderdale, FL
  • NPI 1154598258
  NPD (past) Authorized official
• Gulf Coast Pain Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Walton Beach, FL
  • NPI 1083455299

  Pain Medicine

  NPD
• Gulf Coast Pain Consultants LLC

  • Pain Medicine (Anesthesiology) Physician
  • Pensacola, FL
  • NPI 1265099386
  NPD
• Regional Rehab Associates, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Cape Coral, FL
  • NPI 1831994615
  NPD (past)
• Damien Diagnostic

  • Radiology Clinic/Center
  • Elizabeth, NJ
  • NPI 1437416559
  NPD (past)

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

• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1497701718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SE 2ND ST",
            "address_2": "STE 1640",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011919",
            "telephone_number": "305-772-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395371",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 SE 2nd St",
            "address_2": "STE 1640",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333011919",
            "country_code": "US",
            "telephone_number": "305-772-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTAB",
        "first_name": "RAED",
        "middle_name": "ABDULA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME148257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Joy Harrison, COTA/L
• David L Harrison, MD
• Richele Harrison
• Regina Gilmore Haskin, NP
• Renee Echo Hatcher, CTRS
• Patricia Haun, RDH
• Healing Hoof Steps Corporation
• Healinic Physical Therapy LLC
• Healthy Living Chiropractic Center
• Healthy Perspectives Counseling Group

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.