Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Adey A A Hasan, MD

Individual provider Internal Medicine Physician · NPI 1043516511

Dr. Adey A A Hasan, MD is a Nephrology in St Augustine, Florida. Qualified in 2007, 19 years ago. Practices with Amir a Malik MD PA, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

204 Southpark Cir E
St Augustine, FL 32086-5135
Phone: (904) 829-8300
Fax: (904) 829-8310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 199 S Us Highway 17 Ste C, East Palatka, FL 32131-6071 — (386) 312-0556
  • 264 Palm Coast Pkwy Ne, Palm Coast, FL 32137-8217 — (386) 446-1940

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME122715 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME122715 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043516511
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2011
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Amir A Malik Md Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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