Active NPI
Abul Hasan, MD
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1093034019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.072541
- Practice address
- 16 W Long St
Columbus, OH 43215-2815 - Phone
- (614) 225-0980
- Fax
- (614) 225-0986
- NPI assigned
- Jun 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.072541 | OH | Primary |
Addresses
Primary practice location
16 W Long St
Columbus, OH 43215-2815
Mailing address
16 W Long St
Columbus, OH 43215-2815
Phone (614) 225-0980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2371820 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040830000934 | OH | Practitioner - Psychiatry | 5395710644 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Inc
Practice addresses (Care Compare)
1455 S 4TH St
Columbus, OH 43207-1011
Phone (615) 444-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.072541 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast, Inc | Current | Accepting new patients | |
| Southeast, Inc | Current | Accepting new patients | |
| Scioto Paint Valley Mental Health Center | Past | Accepting new patients | |
| Lutheran Social Services of Northwestern Ohio | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Scioto Paint Valley Mental Health Center | Past | Accepting new patients |
Locations
1455 S 4th St
Columbus, OH 43207
Phone (614) 444-0800
3035 W Broad St
Columbus, OH 43204
Phone (614) 272-7005
16 W Long St
Columbus, OH 43215
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/spvmhc/r4/
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1932169497
OH
-
- Federally Qualified Health Center (FQHC)
- Mount Gilead, OH
- NPI 1114893203
-
- Federally Qualified Health Center (FQHC)
- Martins Ferry, OH
- NPI 1033866140
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1073262481
-
- Federally Qualified Health Center (FQHC)
- Carrollton, OH
- NPI 1265152680
-
- Federally Qualified Health Center (FQHC)
- Woodsfield, OH
- NPI 1497402507
-
- Federally Qualified Health Center (FQHC)
- Shadyside, OH
- NPI 1689394900
-
- Federally Qualified Health Center (FQHC)
- New Philadelphia, OH
- NPI 1710607130
-
- Federally Qualified Health Center (FQHC)
- Saint Clairsville, OH
- NPI 1164800165
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1194002857
-
- Federally Qualified Health Center (FQHC)
- Delaware, OH
- NPI 1326688334
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1407491566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1093034019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 W LONG ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152815",
"telephone_number": "614-225-0980",
"fax_number": "614-225-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 W LONG ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152815",
"telephone_number": "614-225-0980",
"fax_number": "614-225-0986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "ABUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.072541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2371820",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.