Individual provider Active NPI

Omar K Hasan, MD

  • Psychiatry Physician
  • Beckley, WV
National Provider Identifier
1154347607
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21693 Issued in WV
Practice address
28 Mallard CT
Beckley, WV 25801-3664
Phone
(304) 252-8409
Fax
(304) 252-0022
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21693 WV Primary

Addresses

Primary practice location

28 Mallard CT
Beckley, WV 25801-3664

Mailing address

252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 252-8409

Other identifiers 1

IdentifierTypeStateIssuer
3810009063MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20070730000773 WV Practitioner - PsychiatryPractitioner - Sleep MedicinePractitioner - Addiction MedicinePractitioner - Internal MedicinePractitioner - Neurology 9335144328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Internal Medicine, Neurology, Sleep Medicine
Education
West Virginia University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 6608785795, 36 clinicians

Practice addresses (Care Compare)

252 Rural Acres Dr
Beckley, WV 25801-3503

Hospital & facility affiliations

  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
92.57
Promoting interoperability
100
Improvement activities
40
Cost
69.24

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21693WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Sleep Centers CurrentSince Apr 13, 2013 Accepting new patients
Raleigh Psychiatric Services, Inc. Current Accepting new patients
FMRS Health Systems Inc PastSince Jan 13, 2013 Accepting new patients

Locations

24 Mallard Ct
Beckley, WV 25801
Phone (304) 252-8409

28 Mallard Ct
Beckley, WV 25801
Phone 30425283241840

Interoperability endpoints

  • Direct secure messaging: omar.hasan.1@14333.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1154347607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-252-8409",
            "fax_number": "304-252-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013664",
            "telephone_number": "304-252-8409",
            "fax_number": "304-252-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "OMAR",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "21693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009063",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.