Individual provider Active NPI

Fahad Hawk, MD

  • Interventional Cardiology Physician
  • Clearwater, FL
National Provider Identifier
1689170219
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME148553 Issued in FL
Practice address
455 Pinellas St Ste 400
Clearwater, FL 33756-3356
Phone
(727) 445-1912
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME148553 FL Primary

Addresses

Primary practice location

455 Pinellas St Ste 400
Clearwater, FL 33756-3356

Mailing address

PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038

Other practice location 1

8839 Bryan Dairy Rd Ste 300
Largo, FL 33777-1207
Phone (727) 394-1911

Other identifiers 2

IdentifierTypeStateIssuer
CGXO7OtherFLBCBS
110216800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fhawk112979@direct.tgh.org

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
I20210427001625 FL Practitioner - Internal Medicine 0648688945 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Service Association IncGroup PAC ID 6800790221, 818 clinicians

Practice addresses (Care Compare)

4202 E Fowler Ave
Tampa, FL 33620-6750

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

National Provider Directory

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

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Apr 23, 2021 Accepting new patients
KND Development 59, LLC CurrentSince Jun 1, 2022 Accepting new patients
University Medical Service Association Inc CurrentSince Jun 30, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Jun 1, 2022 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
University Medical Service Association Inc CurrentSince Jun 30, 2025 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
KND Development 59 LLC Current Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

455 Pinellas St
Ste 400
Clearwater, FL 33756
Phone (727) 445-1911

2995 Drew St
Fl 3
Clearwater, FL 33759

455 Pinellas St
Ste 260
Clearwater, FL 33756
Phone (727) 449-9891

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1689170219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "813-821-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST STE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "telephone_number": "727-445-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8839 Bryan Dairy Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337771207",
            "country_code": "US",
            "telephone_number": "727-394-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWK",
        "first_name": "FAHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME148553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CGXO7",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110216800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhawk112979@direct.tgh.org",
            "affiliation": "N",
            "address_1": "1 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.