Individual provider Active NPI

Mohammedhasan I Sarawan, M.B., B.S.

  • Internal Medicine Physician
  • Johnston, IA
National Provider Identifier
1174733695
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R7736 Issued in IA
Practice address
8520 Long Meadow LN
Johnston, IA 50131-2879
Phone
(212) 961-6200
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD-37767 IA
Internal Medicine Physician 207R00000X R7736 IA Primary

Addresses

Primary practice location

8520 Long Meadow LN
Johnston, IA 50131-2879

Mailing address

8520 Long Meadow LN
Johnston, IA 50131-2879
Phone (212) 961-6200

Other identifiers 1

IdentifierTypeStateIssuer
P00708685OtherIARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20081007000778 IA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Emergency Medicine 5890863542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 247-4240

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R7736IAMDInternal Medicine Physician
MD-37767IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc Hospitalist CurrentSince Feb 9, 2017 Accepting new patients
Mercy Clinics, Inc. CurrentSince Feb 9, 2017 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Catholic Health Initiatives - Iowa Corp Past Accepting new patients

Locations

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

Interoperability endpoints

  • Direct secure messaging: msarawan3956870@direct.trinity-health.org

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 6

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1174733695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 LONG MEADOW LN",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312879",
            "telephone_number": "212-961-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 LONG MEADOW LN",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312879",
            "telephone_number": "212-961-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAWAN",
        "first_name": "MOHAMMEDHASAN",
        "middle_name": "I",
        "credential": "M.B., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD-37767",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R7736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00708685",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.