Individual provider Active NPI

Mohammed Hasan

  • Internal Medicine Physician
  • Fresh Meadows, NY
National Provider Identifier
1306232046
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
297934 Issued in NY
Practice address
61-36 170TH Street
Suite M4
Fresh Meadows, NY 11365
Phone
(718) 709-0940
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 297934 NY Primary

Addresses

Primary practice location

61-36 170TH Street
Suite M4
Fresh Meadows, NY 11365

Mailing address

61-36 170TH Street
Suite M4
Fresh Meadows, NY 11365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191118002498 NY Practitioner - Internal Medicine 9830521582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians
Medical Services of Northeastern Queens PLLCGroup PAC ID 4587013446, 32 clinicians

Practice addresses (Care Compare)

2830 Pitkin Ave
Brooklyn, NY 11208-3220
Phone (347) 709-3133

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 327-2909

8008 45TH Ave
Elmhurst, NY 11373-3545
Phone (347) 709-3133

822 Cedar Ave
Niagara Falls, NY 14301-1136
Phone (716) 282-1207

9131 175TH St
Jamaica, NY 11432-5517
Phone (718) 657-6363

Hospital & facility affiliations

  • Hospice of New York, LLC Hospice, Long Island City, NY, CCN 331560
  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193
  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014
  • Highland Care Center Nursing home, Jamaica, NY, CCN 335505
  • Regal Heights Rehabilitation and Health Care Cente Nursing home, Jackson Heights, NY, CCN 335820
  • The Monarch at Brooklyn Rehabilitation and Nursing Nursing home, Brooklyn, NY, CCN 335560

Merit-based Incentive Payment System (MIPS)

Final score
24.96 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
83.2

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Medical Services of Northeastern Queens PLLC Internal Medicine CurrentSince Jan 24, 2026 Accepting new patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Highland Care Center, Inc Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
New York Congregational Nursing Center Past Accepting new patients
Jackson Heights Care Center, LLC Past Accepting new patients
Congregational SNF LLC Past Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

641 W 230th St
Bronx, NY 10463
Phone (646) 285-1720

48 Cedar St
Brooklyn, NY 11221
Phone (718) 455-6200

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

10 Claremont Ave
Mount Vernon, NY 10550
Phone (718) 459-0700

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

Organizations & group practices 8

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 7

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1306232046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61-36 170TH STREET",
            "address_2": "SUITE M4",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61-36 170TH STREET",
            "address_2": "SUITE M4",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-709-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "297934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.