Mushir Hassan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40948 Issued in WI

Practice address

17000 W North Ave
Suite 200 E
Brookfield, WI 53005-4423

Phone

(262) 782-4270

Fax

(262) 784-9319

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Internal Medicine

Education

Northwestern University Feinberg Medical School, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Muslim Community and Health Center of Wisconsin Inc.Group PAC ID 7618258062, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhassan724187@direct.ochin.org

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.

• Muslim Community and Health Center of Wisconsin Inc

  • Community Health Clinic/Center
  • Milwaukee, WI
  • NPI 1962850768
  Medicare reassignment Care Compare group NPD
• Ascension Medical Group-Southeast Wisconsin Inc

  dba Ascension Medical Group

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077
  Medicare reassignment NPD
• Comprehensive Podiatry Services

  • Foot & Ankle Surgery Podiatrist
  • Milwaukee, WI
  • NPI 1134885809
  NPD
• Elmbrook Internal Medicine Associates S.C.

  • Primary Care Clinic/Center
  • Brookfield, WI
  • NPI 1205928553
  NPD
• Brookfield Heart and Vascular

  • Cardiovascular Disease Physician
  • Brookfield, WI
  • NPI 1336359926
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1043287436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 W NORTH AVE",
            "address_2": "SUITE 200 E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054423",
            "telephone_number": "262-782-4270",
            "fax_number": "262-784-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 W NORTH AVE",
            "address_2": "SUITE 200 E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054423",
            "telephone_number": "262-782-4270",
            "fax_number": "262-784-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MUSHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "40948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32535400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles M Hart III, PHARMD
• Sharon E Hart, PT
• Anne Hartay, DPT
• Carolyn Hasek, LPC
• Lance Koji Hashimoto, DDS, MS
• Ryan Neil Hatchell, MD
• Shelby Hausman, LPC
• Kevin J Havelka, RPH
• Howard Joel Haven, PHD
• Kelly Ann Hawkins, APSW

• Internal Medicine Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.