Individual provider Active NPI

Imtiaz Hossain, MD

  • Interventional Pain Medicine Physician
  • Largo, FL
National Provider Identifier
1669439600
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME70148 Issued in FL
Practice address
101 Clearwater-Largo Rd N #2
Largo, FL 33770-2357
Phone
(727) 588-0366
Fax
(727) 588-0370
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME70148 FL
Interventional Pain Medicine Physician 208VP0014X ME70148 FL Primary

Addresses

Primary practice location

101 Clearwater-Largo Rd N #2
Largo, FL 33770-2357

Mailing address

101 Clearwater-Largo Rd N #2
Largo, FL 33770-2357
Phone (727) 588-0366

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000712 FL Practitioner - Interventional Pain Management 9931165271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1715 E Bay Dr
Suite a
Largo, FL 33771-2279
Phone (727) 588-0366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Center for Pain Management PA Interventional Pain Medicine CurrentSince Jul 1, 2001 Accepting new patients
Florida Gulf-to-Bay Anesthesiology Associates, LLC Pain Medicine Past Accepting new patients

Locations

1715 E Bay Dr
Ste A
Largo, FL 33771
Phone (727) 588-0366

101 Clearwater Largo Rd N
Ste 2
Largo, FL 33770
Phone (727) 588-0366

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1669439600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLEARWATER-LARGO RD N #2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702357",
            "telephone_number": "727-588-0366",
            "fax_number": "727-588-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEARWATER-LARGO RD N #2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702357",
            "telephone_number": "727-588-0366",
            "fax_number": "727-588-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "IMTIAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME70148",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME70148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.