Active NPI
Syed M Hassan, MD
- Internal Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.097869
- Practice address
- 30 E Apple St
Suite NW 3300
Dayton, OH 45409-2939 - Phone
- (937) 208-8394
- Fax
- (937) 208-8388
- NPI assigned
- Sep 8, 2005
- Last updated
- Mar 7, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-112577 | IL | |
| Internal Medicine Physician | 207R00000X | 35665 | IA | |
| Internal Medicine Physician | 207R00000X | 35.097869 | OH | Primary |
Addresses
Primary practice location
30 E Apple St
Suite NW 3300
Dayton, OH 45409-2939
Mailing address
30 E Apple St
Suite NW 3300
Dayton, OH 45409-2939
Phone (937) 208-8394
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92087 | Other | IA | IA BC/BS SEEN IN RI |
| 0568980 | Medicaid | IA | |
| 336073336 | Other | IL | CONTROLLED SUBSTANCE# |
| 421060724 | Other | IA | BILLING TAX ID# FOR CHC |
| 1241593 | Other | IA | CONTROLLED SUBSTANCE# |
| 421060724005 | Medicaid | IL | |
| 421060724B2 | Other | IL | JOHN DEERE HEALTH |
| 8122859 | Other | IL | ILLINOIS BC/BS |
| 0054680 | Medicaid | OH | |
| 92135 | Other | IA | IA BC/BS SEEN IN MOLINE |
| 104474 | Other | HEALTH ALLIANCE # | |
| 37768 | Other | IA | IOWABC/BS SEEN IN RD |
| 0568998 | Medicaid | IA | |
| IL01B2 | Other | IL | JOHN DEERE EDI# |
| 036112577 | Medicaid | IL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8394
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831
9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 83.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-112577 | IL | MD | Internal Medicine Physician |
| 35.097869 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinclair Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Hisey Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Miami Valley Hospital | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 13
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.
-
dba Miami Valley Hospitalist Group
- Hospitalist Physician
- Dayton, OH
- NPI 1356394795
Internal Medicine
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
dba CHC-IL Homeless Drop In
- Federally Qualified Health Center (FQHC)
- Rock Island, IL
- NPI 1093795981
-
- Dental Clinic/Center
- Davenport, IA
- NPI 1598759029
-
- Federally Qualified Health Center (FQHC)
- Rock Island, IL
- NPI 1598759292
-
dba CHC-Adult Rehabilitation Center
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1700866605
-
- Federally Qualified Health Center (FQHC)
- Moline, IL
- NPI 1710971486
-
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1942280235
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104810886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "SUITE NW 3300",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "SUITE NW 3300",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "SYED",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-112577",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "35665",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.097869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA BC/BS SEEN IN RI",
"identifier": "92087",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0568980",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE#",
"identifier": "336073336",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING TAX ID# FOR CHC",
"identifier": "421060724",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE#",
"identifier": "1241593",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421060724005",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "421060724B2",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS BC/BS",
"identifier": "8122859",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0054680",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA BC/BS SEEN IN MOLINE",
"identifier": "92135",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE #",
"identifier": "104474",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWABC/BS SEEN IN RD",
"identifier": "37768",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0568998",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE EDI#",
"identifier": "IL01B2",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112577",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.