Individual provider Active NPI

Syed S Hasan, M.D.

  • Internal Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1790895035
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75485 Issued in FL
Practice address
2120 Mariner Blvd
Spring Hill, FL 34609-3859
Phone
(352) 666-1703
Fax
(352) 666-1366
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME75485 FL Primary
Hospitalist Physician 208M00000X FL-ME75485-A NE

Addresses

Primary practice location

2120 Mariner Blvd
Spring Hill, FL 34609-3859

Mailing address

2120 Mariner Blvd
Spring Hill, FL 34609-3859
Phone (352) 666-1703

Other identifiers 5

IdentifierTypeStateIssuer
259309OtherFLAVMED
275006OtherFLWELLCARE
7662023OtherFLAETNA
43108OtherFLBC/BC
015146000MedicaidFL

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
I20040524000744 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Preventive Medicine 1153234208 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Physician Services, LLC Hospitalist CurrentSince May 28, 2019 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Dec 22, 2017 Accepting new patients
Superior Medical Clinics LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Rockledge Hospitalist Services LLC Past Accepting new patients
East Coast Hospital Inpatient Specialists PLC Past Accepting new patients
Cogent Healthcare of Ocala, LLC Internal Medicine Past Accepting new patients
Access Healthcare LLC Internal Medicine Past Accepting new patients
Specialists of Ocala, LLC Past Accepting new patients

Locations

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

9780 N 56th St
Ste C
Temple Terrace, FL 33617
Phone (813) 549-7465

9780 N 56th St
Ste A
Temple Terrace, FL 33617

Organizations & group practices 9

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1790895035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346093859",
            "telephone_number": "352-666-1703",
            "fax_number": "352-666-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346093859",
            "telephone_number": "352-666-1703",
            "fax_number": "352-666-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SYED",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75485",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "FL-ME75485-A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "259309",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "275006",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7662023",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BC",
            "identifier": "43108",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015146000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.