DR. ADEY A A HASAN (MD) – Nephrology Physician, NPI 1043516511
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
796 NEPHROLOGY in FL
Provider Addresses for DR. ADEY A A HASAN (MD)
199 S US Highway 17 Ste C
East Palatka, FL 321316071
Phone: (386) 312-0556
Type: Location
264 Palm Coast Pkwy NE
Palm Coast, FL 321378217
Phone: (386) 446-1940
Type: Location
PO BOX 1779
ST AUGUSTINE, FL 320851779
Phone: (904) 829-8300
Type: Mailing
204 SOUTHPARK CIR E
ST AUGUSTINE, FL 320865135
Phone: (904) 829-8300
Fax: (904) 829-8310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Baxter Healthcare ($91).
Total Amount
$250
General + Research + Ownership
Payments
8
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161217000169 | I | Nephrology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 729 | 200 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 298 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 289 | 127 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 196 | 170 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 73 | 14 | $0 |
Insurance plans in this area (ZIP 32131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Nephrology | FL | |
| Internal Medicine, Nephrology | FL |
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