Active NPI
Omar Hasan, MD
- Internal Medicine Physician
- Roxbury Crossing, MA
National Provider Identifier
1124072780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 230890
- Practice address
- 1620 Tremont St
3Rd Floor
Roxbury Crossing, MA 02120-1613 - Phone
- (617) 732-7063
- Fax
- (617) 732-7072
- NPI assigned
- May 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 038009 | CT | |
| Internal Medicine Physician | 207R00000X | 230890 | MA | Primary |
Addresses
Primary practice location
1620 Tremont St
3Rd Floor
Roxbury Crossing, MA 02120-1613
Mailing address
220 Gerry Rd
Chestnut Hill, MA 02467-3184
Phone (860) 830-6459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230890 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeger Inpatient Services | Internal Medicine | Past | Accepting new patients |
| East Hartford Medical Center Inc | Past | Accepting new patients | |
| Everyday Medical Care Center LLC | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Medford, MA
- NPI 1578596599
-
- Pediatrics Physician
- East Hartford, CT
- NPI 1942274113
-
- Family Medicine Physician
- New Britain, CT
- NPI 1336189646
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124072780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 GERRY RD",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673184",
"telephone_number": "860-830-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 TREMONT ST",
"address_2": "3RD FLOOR",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021201613",
"telephone_number": "617-732-7063",
"fax_number": "617-732-7072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "OMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "038009",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "230890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury Crossing, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.