Individual provider Active NPI

Syed Mustajab Hasan, MD

  • Cardiovascular Disease Physician
  • Galveston, TX
National Provider Identifier
1003310525
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
BP10074369 Issued in TX
Practice address
1005 Harborside Drive
Galveston, TX 77555-6500
Phone
(409) 762-2328
Fax
(832) 632-7866
NPI assigned
Mar 20, 2018
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X BP10074369 TX Primary

Addresses

Primary practice location

1005 Harborside Drive
Galveston, TX 77555-6500

Mailing address

301 University Blvd
RT. 0553
Galveston, TX 77555-5302
Phone (409) 762-2328

Other practice location 1

1431 SW 1st Ave Bldg Suite7
Ocala, FL 34471-6500
Phone (352) 401-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714000322 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9436664190 Reassigns benefits to 1 organization
Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Specialists of North Texas PLLCGroup PAC ID 1456535624, 69 clinicians

Practice addresses (Care Compare)

12228 N Central Expy
Suite 210
Dallas, TX 75243-3744
Phone (214) 361-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10074369TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of North Texas, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jul 17, 2021 Accepting new patients
Elite Orthopaedics of Irving PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12228 N Central Expy
Ste 210
Dallas, TX 75243
Phone (214) 826-6044

3537 S Interstate 35 E
Ste 305
Denton, TX 76210
Phone (972) 391-1915

5575 Frisco Square Blvd
Ste 240
Frisco, TX 75034

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

301 University Blvd
#553
Galveston, TX 77555
Phone (409) 772-1533

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1003310525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "RT. 0553",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-762-2328",
            "fax_number": "832-632-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARBORSIDE DRIVE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775556500",
            "telephone_number": "409-762-2328",
            "fax_number": "832-632-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 SW 1st Ave Bldg Suite7",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716500",
            "country_code": "US",
            "telephone_number": "352-401-8311",
            "fax_number": "352-401-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SYED",
        "middle_name": "MUSTAJAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "BP10074369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.