Active NPI
Miratiqullah Hessami, MD
- Internal Medicine Physician
- Eustis, FL
National Provider Identifier
1629077573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 81337
- Practice address
- 33425 E Lake Joanna Dr
Eustis, FL 32736-7249 - Phone
- (352) 223-5244
- Fax
- (352) 735-4262
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 81337 | FL | Primary |
Addresses
Primary practice location
33425 E Lake Joanna Dr
Eustis, FL 32736-7249
Mailing address
33425 E Lake Joanna Dr
Eustis, FL 32736-7249
Phone (352) 223-5244
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, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
E Dixie Ave
Leesburg, FL 34748
Phone (352) 223-5244
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.Atiq Hessami,M.D.,P.a. | Current | Accepting new patients | |
| Youngsik Moon, M.D., P.a. | Past | Accepting new patients | |
| Youngsik Moon, M.D., P.a. | Past | Accepting new patients |
Interoperability endpoints
- mhessami563694@direct.shands.ufl.edu
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.
-
- Medical Specialty Clinic/Center
- Eustis, FL
- NPI 1033438759
-
- Family Medicine Physician
- Hollywood, MD
- NPI 1245447465
-
- Ambulatory Surgical Clinic/Center
- Hollywood, MD
- NPI 1831203215
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1629077573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33425 E LAKE JOANNA DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327367249",
"telephone_number": "352-223-5244",
"fax_number": "352-735-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33425 E LAKE JOANNA DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327367249",
"telephone_number": "352-223-5244",
"fax_number": "352-735-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESSAMI",
"first_name": "MIRATIQULLAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 81337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.