Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Shamim A Hasan , PA-C

Physician Assistant • Winter Park, FL

Active NPI 1003130287 Individual Practitioner Female Practitioner
Practice location in NPPES

1605 W Fairbanks Ave
Winter Park, FL 327894603

Call 4078458356 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1605 W Fairbanks Ave

Winter Park, FL 327894603

Telephone 4078458356
Organization at the Same NPPES Address or Phone
Florida Hospital Medical Group Inc Facility NPI 1629060033

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Orlando, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

24 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$956 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $112.15 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shamim Hasan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shamim Hasan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Winter Park and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Shamim Hasan are from 2019.

87 active clinicians are listed under Physician Assistant with a practice address in Winter Park, FL (10,554 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Winter Park

16.1% of these 87 clinicians have the CMS telehealth indicator.

63.2% of these 87 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2019), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $112.15.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
LUX-Dx Insertable Cardiac Monitor General $112.15

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D · Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Bumetanide Bumetanide 13 375 $883.93 —
Isosorbide Mononitrate Er Isosorbide Mononitrate 11 330 $71.86 —

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9105410

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20190620002162

Enrollment State Jurisdiction

FL

PECOS Control ID

0840524195

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

11317 Lake Underhill Rd, Suite 600.

Orlando, FL 328254435

Phone: 4074827788

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
NPI 1417469305

Advanced Registered Nurse Practitioner

Hannah Ellwood , APRN

Nurse Practitioner - Acute Care

NPI 1467033472

Advanced Practice Registered Nurse

Marisol Gonzalez , APRN

Nurse Practitioner - Gerontology

NPI 1679138226

Advanced Practice Registered Nurse

Dr. Alexandra Lackey , MD

Internal Medicine - Interventional Cardiology

NPI 1013570894

Doctor of Medicine (M.D.)

Dr. Vatsal Ladia , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1831476688

Doctor of Medicine (M.D.)

Georgia Lowe , APRN

Nurse Practitioner - Adult Health

NPI 1992101794

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location October 27, 2025

Registered at 1605 W FAIRBANKS AVE, WINTER PARK, FL 327894603 (Tel: 4078458356)

📍
Updated Business Mailing Address October 27, 2025

Registered at 1605 W FAIRBANKS AVE, WINTER PARK, FL 327894603 (Tel: 4078458356)

🏢
Secondary Practice Location Registered October 27, 2025

Additional practice office at 11317 Lake Underhill Rd, Suite 600., Orlando, FL 328254435

✅
NPI Profile Active March 17, 2010

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 17, 2010

Registered at 11317 LAKE UNDERHILL RD, SUITE 600., ORLANDO, FL 328254435 (Tel: 4074827788)

📍
Business Mailing Address (Initial Record) March 17, 2010

Registered at 11317 LAKE UNDERHILL RD, SUITE 600., ORLANDO, FL 328254435

👤
Provider Name / Credentials (Initial Record) March 17, 2010

Recorded as SHAMIM HASAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2010

Physician Assistant (license number reported to NPPES: FL PA9105410)

🟢
Initial NPI Registration & Enumeration March 17, 2010

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1003130287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2010
Last Update: October 27, 2025
Sole Proprietor: No

Other Physician Assistants in Winter Park

All Physician Assistants in Winter Park

Mailing Address

1605 W Fairbanks Ave

Winter Park, FL 327894603

Phone: 4078458356

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.