Active NPI
Mazen B. Hamadeh, MD
- Hospitalist Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME71725
- Practice address
- 9400 Turkey Lake Rd
Orlando, FL 32819-8001 - Phone
- (321) 843-5500
- Fax
- (321) 843-5550
- NPI assigned
- Jan 18, 2006
- Last updated
- Oct 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME71725 | FL | |
| Hospitalist Physician | 208M00000X | ME71725 | FL | Primary |
Addresses
Primary practice location
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Mailing address
3090 Caruso CT Ste 50
Orlando, FL 32806-8510
Phone (407) 481-7179
Other practice location 1
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771
Other practice location 2
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9358
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32995 | Other | FL | BCBS |
| IE801S | Other | FL | MEDICARE HF |
| 014758100 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME71725 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Hospital Physician Services of Florida PA | Internal Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Mid Florida Hospital Specialists PA | Internal Medicine | Current | Accepting new patients |
| Rockledge Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Hospital Service District No. 2 | Past | Accepting new patients | |
| Ed Physicians of West Louisiana, LLC | Past | Accepting new patients | |
| Sebring Emergency Physicians LLC | Past | Accepting new patients | |
| City Circle ER SVCS Partnership LLC | Past | Accepting new patients | |
| Dassee Community Health Systems | Past | Accepting new patients | |
| Floridian Emergency Specialists, LLC | Past | Accepting new patients | |
| Inphynet Contracting Services LLC | Past | Accepting new patients | |
| Emergency Medicine of Florida, Inc. | Past | Accepting new patients | |
| Correct Care, Inc. | Past | Accepting new patients | |
| Bond Urgent Care LLC | Past | Accepting new patients |
Locations
250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172
Interoperability endpoints
- mazen.hamadeh.p1@direct.bondclinicpa.nextgenshare.com
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Internal Medicine
-
- Internal Medicine Physician
- Winter Springs, FL
- NPI 1588675912
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Hospitalist Physician
- Rockledge, FL
- NPI 1538523295
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Urgent Care Clinic/Center
- Winter Haven, FL
- NPI 1235641739
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1144279357
-
dba Calhoun Liberty Hospital
- Critical Access Hospital
- Blountstown, FL
- NPI 1740285139
-
dba COMBI (Comprehensive Occupational Medicine for Business & Industry)
- Occupational Medicine Clinic/Center
- Tampa, FL
- NPI 1134235872
-
- Emergency Medicine Physician
- Crestview, FL
- NPI 1992150007
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1821045048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1538149422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 CARUSO CT STE 50",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328068510",
"telephone_number": "407-481-7179",
"fax_number": "407-481-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 TURKEY LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198001",
"telephone_number": "321-843-5500",
"fax_number": "321-843-5550"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1771",
"fax_number": "321-951-7408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8745 N Wickham Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329405997",
"country_code": "US",
"telephone_number": "321-434-9358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMADEH",
"first_name": "MAZEN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME71725",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME71725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32995",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "IE801S",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014758100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.