M. EMDADUL HAQUE MD PA
NPI 1073773214
Anesthesiology - Pain Medicine in New Smyrna Beach, FL

Active since June 11, 2008
412 PALMETTO ST, NEW SMYRNA BEACH, FL 32168(386) 427-4752 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About M. Emdadul Haque Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M. EMDADUL HAQUE MD PA (NPI 1073773214) is a healthcare organization registered as a pain medicine in New Smyrna Beach, Florida and active in the NPI registry since June 2008. The organization lists M. Emdadul Haque, Owner, as its authorized official.

NPPES Registry Identity

NPI1073773214
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameM. EMDADUL HAQUE MD PA
Location Address412 PALMETTO STNew Smyrna Beach, FL 32168-7361
Mailing Address412 Palmetto StNew Smyrna Beach, FL 32168-7361 · (386) 427-4752
Organization SubpartNo
Authorized OfficialM. Emdadul HaqueOwner · (386) 427-4752
Enumeration DateJune 11, 2008
✔ NPI 1073773214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in FL · ME0076036
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
412 PALMETTO ST, New Smyrna Beach, FL 32168

Other Identifiers 2

Medicare PINE0794FL
Medicare UPING71931FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M. Emdadul Haque Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to M. Emdadul Haque MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Pain Management
NPI 1417905837
412 PALMETTO STREET
New Smyrna Beach, FL 32168
(386) 427-4752
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M. Emdadul Haque MD PA's NPI number?

The NPI number for M. Emdadul Haque MD PA is 1073773214. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is M. Emdadul Haque MD PA located?

M. Emdadul Haque MD PA is located at 412 Palmetto St, New Smyrna Beach, FL 32168. The listed phone number is (386) 427-4752.

What is M. Emdadul Haque MD PA's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is M. Emdadul Haque MD PA enrolled in Medicare?

Yes. M. Emdadul Haque MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M. Emdadul Haque MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to M. Emdadul Haque MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for M. Emdadul Haque MD PA was last updated on June 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.