MUTASIM N. ABU-HASAN MD NPI 1558356402

Pediatrics (Pediatric Pulmonology) in Gainesville, FL

NPI 1558356402 Individual Male Pediatrics Pediatric Pulmonology PECOS Enrolled

About MUTASIM ABU-HASAN

Mutasim Abu-hasan is a pediatrician established in Gainesville, Florida and his medical specialization is pediatrics (pediatric pulmonology) . The NPI number of Mutasim Abu-hasan is 1558356402 and was assigned on September 2005. The practitioner's primary taxonomy code is 2080P0214X with license number ME107986 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

A pediatrician like Mutasim N. Abu-hasan Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Mutasim Abu-hasan is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mutasim Abu-hasan is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1558356402

Provider Name MUTASIM N. ABU-HASAN MD
Provider Location Address1600 SW ARCHER RD GAINESVILLE, FL 32610
Provider Mailing AddressPO BOX 918025 ORLANDO, FL 32891
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-16-2005
Last Update Date02-08-2011


Primary Taxonomy

Taxonomy Code2080P0214X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Pulmonology
License No.ME107986
License StateFL
Taxonomy DescriptionA pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Business Address

MUTASIM N. ABU-HASAN MD
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-8379
Fax: (352) 392-4450

Get Directions


Mailing Address

MUTASIM N. ABU-HASAN MD
PO BOX 918025
ORLANDO, FL
ZIP 32891
Phone: (352) 273-8379
Fax: (352) 392-4450



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology33418IANo

Taxonomy Description: a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

22080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology33418IANo

Taxonomy Description: a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

32080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology04-33202KSNo

Taxonomy Description: a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
370016529MEDICARE PIN (08)IA
17554MEDICARE PIN (08)IA
17554OTHER (01)IA
H12268MEDICARE UPIN (02)
0212985MEDICAID (05)IA
EH636ZMEDICARE PIN (08)FL
002981400MEDICAID (05)FL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669475554 WALTER J MILTON MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0301
1669476347MS. JOAN ELLA ENGLISH PA-C
Individual
Physician Assistant1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-9350
1245234624DR. BRUCE K. STECHMILLER MD
Individual
Internal Medicine (Hematology & Oncology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-7832
1174528780 SCOTT WILLIAM PETERSON MD
Individual
Radiology (Vascular & Interventional Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0290
1700883485DR. ERIC KIRK THOBURN MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0291
1023015823 ANTHONY P MCDONALD MD
Individual
Surgery1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 374-6078
1164421772 ROBERTA MOORE SLATER MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0291
1164421764 WEI HE ARNP
Individual
Nurse Practitioner (Pediatrics)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 266-7240
1871593913 NAM HOANG DANG MD
Individual
Internal Medicine (Medical Oncology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-7832
1568454684 CLAIRE ALEXANDRIA FLINT CRNA
Individual
Nurse Anesthetist, Certified Registered1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 264-0077
1003809237MR. ROBERT M CLONAN CRNA
Individual
Nurse Anesthetist, Certified Registered1600 SW ARCHER RD
GAINESVILLE, FL 32610
(800) 642-1999
1598750390DR. JYOTI BUDANIA MD
Individual
Pediatrics1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 371-3604
1669469326 ANDRE PIERRE BOEZAART MD PHD
Individual
Anesthesiology1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 392-3441
1215924501 MELISSA MAI VU MD
Individual
Anesthesiology1600 SW ARCHER RD
GAINESVILLE, FL 32610
(904) 953-2000
1932198819 LILLIAN MARGARET VAN HOUTEN ARNP
Individual
Nurse Practitioner (Pediatrics)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 334-1400
1124017017MRS. MELISSA KIMBERLY MAISENBACHER M.S.,C.G.C.
Individual
Genetic Counselor, MS1600 SW ARCHER RD UF PEDIATRIC GENETICS
GAINESVILLE, FL 32610
(352) 392-4104
1215918487DR. WILLIAM ALISON CUMMING M.D.
Individual
Radiology (Pediatric Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0102
1871575183 BELINDA WESLEY SELLI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-9900
1306828793DR. SCOTT L. MYERS MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)1600 SW ARCHER RD SUITE 3341
GAINESVILLE, FL 32610
(352) 265-5471
1053394262 SCOTT ANDREWS RIVKEES MD
Individual
Pediatrics (Pediatric Endocrinology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-9001

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.