Active NPI
Hugo M Jasin, MD
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1619104486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME113748
- Practice address
- 12780 Race Track Rd
Suite 205
Tampa, FL 33626-1395 - Phone
- (813) 792-8878
- Fax
- (813) 443-8171
- NPI assigned
- Jun 18, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME113748 | FL | Primary |
Addresses
Primary practice location
12780 Race Track Rd
Suite 205
Tampa, FL 33626-1395
Mailing address
PO Box 743409
Atlanta, GA 30374-3409
Phone (727) 532-0002
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9763896 | Other | FL | AETNA |
| 007904600 | Medicaid | FL | |
| 14NJ5 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113748 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group Pediatric Walk-in, LLC | Pediatrics | Past | Accepting new patients |
| Baycare Medical Group Pediatric Walk-in Care LLC | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Lutz, FL
- NPI 1861850117
-
- Pediatrics Physician
- Tampa, FL
- NPI 1679724488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1619104486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743409",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743409",
"telephone_number": "727-532-0002",
"fax_number": "727-532-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12780 RACE TRACK RD",
"address_2": "SUITE 205",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261395",
"telephone_number": "813-792-8878",
"fax_number": "813-443-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASIN",
"first_name": "HUGO",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-18",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME113748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9763896",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007904600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14NJ5",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.