Active NPI
Ismat Hossain, M.D.
- Internal Medicine Physician
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME90926
- Practice address
- 3898 Via Poinciana
Suite 19
Lake Worth, FL 33467-2951 - Phone
- (561) 619-6480
- Fax
- (561) 619-6418
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME90926 | FL | Primary |
Addresses
Primary practice location
3898 Via Poinciana
Suite 19
Lake Worth, FL 33467-2951
Mailing address
3898 Via Poinciana
Ste 19
Lake Worth, FL 33467-2951
Phone (561) 619-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271600300 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300
Hospital & facility affiliations
- Wellington Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90926 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Group of the Palm Beaches PA | Internal Medicine | Current | Accepting new patients |
| Accountable Care Hospitalist Group | Internal Medicine | Current | Accepting new patients |
Locations
21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601
1626 Davis Rd
West Palm Beach, FL 33406
Phone (561) 265-3525
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Wellington, FL
- NPI 1659640282
-
- Internal Medicine Physician
- Atlantis, FL
- NPI 1801249990
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1235231465
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1619918141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3898 VIA POINCIANA",
"address_2": "STE 19",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334672951",
"telephone_number": "561-619-6480",
"fax_number": "561-619-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3898 VIA POINCIANA",
"address_2": "SUITE 19",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334672951",
"telephone_number": "561-619-6480",
"fax_number": "561-619-6418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSSAIN",
"first_name": "ISMAT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME90926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271600300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.