HASAN EDDIB MD
NPI 1356043178
Student in an Organized Health Care Education/Training Program in Brooksville, FL

Active since March 17, 2023PECOS Enrolled
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 596-6632(352) 597-6317 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2026, Mar 17, 2023 (2 updates tracked since 2023).

About Hasan Eddib Md NPPES

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

HASAN EDDIB MD (NPI 1356043178) is an individual student in an organized health care education/training program in Brooksville, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356043178
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHASAN EDDIBCredential: MD
Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409
Mailing Address7072 Oberon AveSpring Hill, FL 34608-1340 · (352) 773-0710 · Fax (352) 597-6173
Fax(352) 597-6317
Sole ProprietorNo
Enumeration DateMarch 17, 2023
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
NPI 1356043178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11375 CORTEZ BLVD, Brooksville, FL 34613

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hasan Eddib Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Practitioner (Family)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Anesthesiology
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
General Acute Care Hospital
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Pathology (Anatomic Pathology & Clinical Pathology)
11375 CORTEZ BLVD, OAK HILL HOSPITAL
BROOKSVILLE, FL 34613
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613

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 Hasan Eddib's NPI number?

The NPI number for Hasan Eddib is 1356043178. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Hasan Eddib located?

Hasan Eddib practices at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 596-6632.

What is Hasan Eddib's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hasan Eddib enrolled in Medicare?

Yes. Hasan Eddib is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hasan Eddib was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.