DR. DUSTIN HATEFI (M.D., M.P.H.) – Neurological Surgery Physician, NPI 1790072106

DR. DUSTIN HATEFI (M.D., M.P.H.) is a healthcare provider. based in Orlando, Florida. specializing in NEUROSURGERY. They hold the professional credentials M.D., M.P.H.. They hold a License No. A124325 (CA). The NPI Number for DR. DUSTIN HATEFI (M.D., M.P.H.) is 1790072106

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUSTIN HATEFI (M.D., M.P.H.)
NPI
1790072106
Phone
Not provided
Address
PO BOX 917770
Enumeration Date
6 July 2011
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6195431847
Graduation Year
2011 (15 years ago)
PAC ID
7416211610
Group Practice PAC ID
3577476761
Professional Enrollment ID
I20180515001622
Address ID
CA921039000SA200XXDRXX400

Contacts

Secure Messaging
dhatefi173646@direct.tgh.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

567 NEUROSURGERY in FL

Provider Addresses for DR. DUSTIN HATEFI (M.D., M.P.H.)

  • PO BOX 917770

    ORLANDO, FL 328910001

    Phone:

    Type: Mailing

  • 2 TAMPA GENERAL CIR

    TAMPA, FL 336063571

    Phone: (813) 974-2201

    Type: Location

  • 101 THE CITY DR S BLDG 30

    ORANGE, CA 928683201

    Phone: (714) 456-6966

    Type: Mailing

  • 2590 Healing Way Ste 310

    Wesley Chapel, FL 335435497

    Phone: (813) 333-1186

    Type: Location

  • FILE 57326

    LOS ANGELES, CA 900747326

    Phone: (858) 249-6748

    Type: Mailing

  • 200 W ARBOR DR

    SAN DIEGO, CA 921039000

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $11,617.

Total Amount is formed as General ($11,617) + Research ($0) + Ownership ($0) = $11,617.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Medtronic, Inc. ($4,439).

Total Amount

$11,617

General + Research + Ownership

Payments

77

Total payment records

General Amount

$11,617

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-05-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180515001622INeurosurgeryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32891)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577476761View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. DUSTIN HATEFI (M.D., M.P.H.) in U.S. healthcare records?
The official identifier for DR. DUSTIN HATEFI (M.D., M.P.H.) is NPI 1790072106.
Is there an active status for DR. DUSTIN HATEFI (M.D., M.P.H.)?
For scheduling context, DR. DUSTIN HATEFI (M.D., M.P.H.) is shown as active in the registry.
What clinical focus is listed for DR. DUSTIN HATEFI (M.D., M.P.H.)?
At a glance, DR. DUSTIN HATEFI (M.D., M.P.H.) is tied to Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. DUSTIN HATEFI (M.D., M.P.H.) registered?
Use Orlando, Florida as the headline location for DR. DUSTIN HATEFI (M.D., M.P.H.) here.
Can I trust this NPI listing for DR. DUSTIN HATEFI (M.D., M.P.H.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.