Individual provider Active NPI

Sayed Mohammad Husain, M.D.

  • Nephrology Physician
  • Altamonte Springs, FL
National Provider Identifier
1780989376
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME128664 Issued in FL
Practice address
631 Palm Springs Dr Ste 104
Altamonte Springs, FL 32701-7854
Phone
(407) 265-2540
Fax
(407) 265-9167
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 50101 TN
Nephrology Physician 207RN0300X ME128664 FL Primary
Internal Medicine Physician 207R00000X 50101 TN

Addresses

Primary practice location

631 Palm Springs Dr Ste 104
Altamonte Springs, FL 32701-7854

Mailing address

PO Box 952951
Lake Mary, FL 32795-2951
Phone (407) 265-2540

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
I20170616000419 FL Practitioner - Nephrology 7214161603 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Florida Kidney and Hypertension Care PLGroup PAC ID 3072520204, 2 clinicians

Practice addresses (Care Compare)

631 Palm Springs Dr
Suite 104
Altamonte Springs, FL 32701-7854
Phone (407) 265-2540

Hospital & facility affiliations

  • Pure Life Renal of Sanford, LLC Dialysis facility, Sanford, FL, CCN 682722
  • DaVita Orange City Dialysis Dialysis facility, Orange City, FL, CCN 102775
  • Fresenius Kidney Care Casselberry Dialysis facility, Casselberry, FL, CCN 682690
  • Apopka Artificial Kidney Center Dialysis facility, Apopka, FL, CCN 102592
  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37283SCMDPharmacist
50101TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Oct 20, 2019 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Oct 20, 2019 Accepting new patients
Mid-Florida Group of Specialists LLC Nephrology CurrentSince Aug 1, 2022 Accepting new patients
Mid Florida Kidney and Hypertension Care PL CurrentSince Jun 1, 2017 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Jun 19, 2019 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Jun 19, 2019 Accepting new patients

Locations

631 Palm Springs Dr
Ste 104
Altamonte Springs, FL 32701
Phone (407) 265-2540

775 Gateway Dr
Ste 1010
Altamonte Springs, FL 32714
Phone (407) 265-2540

731 Stirling Center Pl
Unit 1911
Lake Mary, FL 32746
Phone (407) 804-9616

2541 S Volusia Ave
Ste 300
Orange City, FL 32763
Phone (386) 218-6893

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1403 Medical Plaza Dr
Ste 208
Sanford, FL 32771
Phone (321) 364-0728

3100 E Fletcher Ave
#C
Tampa, FL 33613

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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 9

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1780989376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952951",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327952951",
            "telephone_number": "407-265-2540",
            "fax_number": "407-265-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PALM SPRINGS DR STE 104",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017854",
            "telephone_number": "407-265-2540",
            "fax_number": "407-265-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "SAYED",
        "middle_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "50101",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME128664",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "50101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.