Active NPI
Husain M Abbas, MD
- Surgery Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME113201
- Practice address
- 3627 University Blvd S
Suite 700
Jacksonville, FL 32216-4230 - Phone
- (904) 399-5678
- Fax
- (904) 399-8488
- NPI assigned
- Jun 12, 2008
- Sex
- Male
- Sole proprietor
- No
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1598869844
FL, GA
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1851333108
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
Hospital
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
Hospital
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Family Practice Associates, LLC
Practice addresses (Care Compare)
1908 Alice St
Waycross, GA 31501-6208
Phone (904) 399-5678
3627 University Blvd S
Suite 700
Jacksonville, FL 32216-7403
Phone (904) 399-5678
Hospital & facility affiliations
- HCA Florida Memorial Hospital
- Memorial Satilla Health
- HCA Florida Orange Park Hospital
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.52 of 100
- Quality
- 78.57
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 29 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130102000259 | FL | Practitioner - General Surgery | 3173776945 | Reassigns benefits to 1 organization |
| I20180711002040 | GA | Practitioner - General Surgery | 3173776945 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113201 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Family Practice Associates, LLC | Current | Accepting new patients | |
| Memorial Family Practice Associates LLC | Past | Accepting new patients |
Locations
3627 University Blvd S
Ste 700
Jacksonville, FL 32216
1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200
12276 San Jose Blvd
Ste 401
Jacksonville, FL 32223
Phone (904) 268-5561
1825 Kingsley Ave
Ste 260
Orange Park, FL 32073
Phone (904) 593-5333
1908 Alice St
Waycross, GA 31501
Phone (912) 338-6010
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME113201 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3627 University Blvd S
Suite 700
Jacksonville, FL 32216-4230
Mailing address
3627 University Blvd S
Suite 700
Jacksonville, FL 32216-4230
Phone (904) 399-5678
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007624500 | Medicaid | FL |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HUSAIN.ABBAS@hca5.eclinicaldirectplus.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2022.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1508026527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3627 UNIVERSITY BLVD S",
"address_2": "SUITE 700",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164230",
"telephone_number": "904-399-5678",
"fax_number": "904-399-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3627 UNIVERSITY BLVD S",
"address_2": "SUITE 700",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164230",
"telephone_number": "904-399-5678",
"fax_number": "904-399-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBAS",
"first_name": "HUSAIN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME113201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007624500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "HUSAIN.ABBAS@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "3627 University Blvd S",
"address_2": "SUITE 700",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322164230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.