NPIMap

Individual provider Active NPI

David J. Hak, MD

  • Orthopaedic Trauma Physician
  • Sanford, FL
National Provider Identifier
1942290341
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
ME138358 Issued in FL
Practice address
309 N Mangoustine Ave Unit G
Sanford, FL 32771-1098
Phone
(321) 363-1754
NPI assigned
Oct 26, 2005
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M-17447 ID
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X DR.0044643 CO
Orthopaedic Trauma Physician 207XX0801X 44643 CO
Orthopaedic Surgery Physician 207X00000X 036151637 IL
Orthopaedic Trauma Physician 207XX0801X ME138358 FL Primary

Addresses

Primary practice location

309 N Mangoustine Ave Unit G
Sanford, FL 32771-1098

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 324-6661

Other practice location 1

305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone (618) 457-3006

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other practice location 3

1324 Lakeland Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1321

Other practice location 4

999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone (208) 302-2600

Other identifiers 1

IdentifierTypeStateIssuer
101487700MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dhak37227@sih.direct-ci.com
Direct Messaging Address dhak17653@LRHS.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, SD, AZ, ID5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20181218000799 FL Practitioner - Orthopedic Surgery 0547272619 Reassigns benefits to 4 organizations
I20200207001644 IL Practitioner - Orthopedic Surgery 0547272619 Reassigns benefits to 2 organizations
I20201030001463 SD Practitioner - Orthopedic Surgery 0547272619 Reassigns benefits to 1 organization
I20220719003498 AZ Practitioner - Orthopedic Surgery 0547272619 Reassigns benefits to 1 organization
I20240109004912 ID Practitioner - Orthopedic Surgery 0547272619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Hughston Clinic Southeast PCGroup PAC ID 9234423971, 48 clinicians
Acute Care Surgery of South Dakota PCGroup PAC ID 5698195030, 67 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

1401 W Seminole Blvd
Central Florida Regional Hospital
Sanford, FL 32771-6743
Phone (407) 321-4500

1635 Caregiver Cir
RM 2 238
Rapid City, SD 57702-8529
Phone (605) 755-4540

19 E Shawnee Dr
Murphysboro, IL 62966-7071
Phone (618) 227-7500

801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone (208) 814-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-17447IDMDOrthopaedic Surgery Physician
036151637ILMDOrthopaedic Surgery Physician
DR.0044643COMDAdult Reconstructive Orthopaedic Surgery Physician
44643COMDOrthopaedic Trauma Physician
ME138358FLMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Jan 29, 2023 Accepting new patients
Health First Physician Specialties Inc Orthopaedic Trauma CurrentSince Jan 27, 2023 Accepting new patients
Lakeland Regional Health Systems, Inc. Orthopaedic Surgery CurrentSince May 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Orthopaedic Trauma Current Accepting new patients
Acute Care Surgery Medical Group, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Acute Care Surgery of South Dakota PC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Health First Medical Group, LLC Orthopaedic Surgery CurrentSince Jan 29, 2023 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Feb 21, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 15, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Orthopaedic Surgery CurrentSince Aug 15, 2024 Accepting new patients
Surgical Affiliates of California CurrentSince Oct 11, 2025 Accepting new patients
Sonoran Orthopaedic Trauma Surgeons Orthopaedic Trauma CurrentSince Apr 9, 2022 Accepting new patients
Saint Alphonsus Specialty Services Inc Past Accepting new patients
Southern Illinois Medical Services, NFP Past Accepting new patients
Acute Care Surgical Affiliates of Texas PA Orthopaedic Surgery Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

3126 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 949-2760

3172 N Swan Rd
Tucson, AZ 85712
Phone (520) 795-8777

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

999 N Curtis Rd
Ste 415
Boise, ID 83706
Phone (208) 302-2600

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

625 Pole Line Rd W
Ste 1B
Twin Falls, ID 83301
Phone (208) 814-8100

801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006

305 W Jackson St
Ste 302
Carbondale, IL 62901
Phone (618) 457-3006

405 W Jackson St
Carbondale, IL 62901

19 E Shawnee Dr
Murphysboro, IL 62966
Phone (618) 684-2172

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

Interoperability endpoints

  • Direct secure messaging: david.hak.1@321.direct.athenahealth.com
  • Direct secure messaging: dhak.84560@regionalhealth.sdhealthlink.net
  • Direct secure messaging: dhak17653@lrhs.direct-ci.com
  • Direct secure messaging: dhak71412@epicdirect.hf.org
  • FHIR API: https://api.platform.athenahealth.com/5564/brand/1/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1942290341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-324-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MANGOUSTINE AVE UNIT G",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711098",
            "telephone_number": "321-363-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Jackson St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011474",
            "country_code": "US",
            "telephone_number": "618-457-3006",
            "fax_number": "618-457-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 Lakeland Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054543",
            "country_code": "US",
            "telephone_number": "863-687-1321",
            "fax_number": "863-284-1786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 N Curtis Rd Ste 415",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061334",
            "country_code": "US",
            "telephone_number": "208-302-2600",
            "fax_number": "208-302-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAK",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-17447",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0044643",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CO",
            "license": "44643",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036151637",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "ME138358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101487700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhak37227@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 W Jackson St Ste 206",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhak17653@LRHS.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1324 Lakeland Blvd",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338054543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.