Individual provider Active NPI

Hazel Huong Luong, PA

  • Physician Assistant
  • Davie, FL
National Provider Identifier
1598426280
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C09225 Issued in MD
Practice address
3200 S University Dr
Davie, FL 33328-2018
Phone
(954) 262-1250
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA117895 FL
Physician Assistant 363A00000X C09225 MD Primary

Addresses

Primary practice location

3200 S University Dr
Davie, FL 33328-2018

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704

Other practice location 1

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240328002745 MD Practitioner - Physician Assistant 8527405315 Reassigns benefits to 1 organization
I20260225001872 FL Practitioner - Physician Assistant 8527405315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

Practice addresses (Care Compare)

5360 University Pkwy
Sarasota, FL 34243-5800
Phone (941) 917-1234

5590 Bee Ridge Rd
BLDG a
Sarasota, FL 34233-1513
Phone (941) 952-4950

6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678

8431 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 261-6800

997 US Hwy 41 Byp N
Ambulatory Care Physicians of Sarasota
Venice, FL 34285-6046
Phone (941) 952-4250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C09225MDMDPhysician Assistant
PA117895FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Feb 1, 2024 Accepting new patients
Global Physician Network LLC Series II CurrentSince Dec 20, 2025 Accepting new patients
Johns Hopkins University CurrentSince Feb 1, 2024 Accepting new patients
Global Physician Network LLC Series I CurrentSince Dec 20, 2025 Accepting new patients

Locations

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

4940 Eastern Ave
Baltimore, MD 21224

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: hluong1215617@direct.hopkinsmedicine.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1598426280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242735",
            "country_code": "US",
            "telephone_number": "410-550-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "HAZEL",
        "middle_name": "HUONG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA117895",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C09225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.