NPIMap

Individual provider Active NPI

Syed K Hassan, M.D.

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1881687507
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071461 Issued in FL
Practice address
3005 Caring Way
Units 2 and 3
Port Charlotte, FL 33952-5304
Phone
(941) 249-8493
Fax
(941) 249-8537
NPI assigned
Aug 28, 2005
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0071461 FL Primary

Addresses

Primary practice location

3005 Caring Way
Units 2 and 3
Port Charlotte, FL 33952-5304

Mailing address

3005 Caring Way
Units 2 NS 3
Port Charlotte, FL 33952-5304
Phone (941) 249-8493

Other identifiers 4

IdentifierTypeStateIssuer
251108800MedicaidFL
32408OtherFLBCBS
5291720OtherFLAETNA
292260OtherFLWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000370 FL Practitioner - Internal Medicine 3577521137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2400 Harbor Blvd
Port Charlotte, FL 33952-5038
Phone (941) 249-8493

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071461FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syed Hassan MD PA Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Tanweer Memon MD PA Internal Medicine Past Accepting new patients

Locations

2091 Tamiami Trl
Pt Charlotte, FL 33948
Phone (941) 625-9494

2400 Harbor Blvd
Ste 20
Pt Charlotte, FL 33952
Phone (866) 714-5359

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

3005 Caring Way
Ste 2
Pt Charlotte, FL 33952
Phone (304) 615-6029

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIABBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCGCA/Endpoint/HDCGCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1125187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1881687507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 CARING WAY",
            "address_2": "UNITS 2 NS 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525304",
            "telephone_number": "941-249-8493",
            "fax_number": "941-249-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 CARING WAY",
            "address_2": "UNITS 2 AND 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525304",
            "telephone_number": "941-249-8493",
            "fax_number": "941-249-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SYED",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-28",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251108800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32408",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5291720",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "292260",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.