Mahmood S Hasan, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4301042747 Issued in MI

Practice address

314 M 55 W
Tawas City, MI 48763-9253

Phone

(989) 362-4484

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Tri City Urology Associates PC

  • Urology Physician
  • Saginaw, MI
  • NPI 1366463101
  Medicare reassignment NPD
• Mahmood S Hasan MD P C

  • Urology Physician
  • Tawas City, MI
  • NPI 1538198650
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1306822218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 FASHION SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486035217",
            "telephone_number": "989-790-0007",
            "fax_number": "989-790-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 M 55 W",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639253",
            "telephone_number": "989-362-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MAHMOOD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301042747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108326",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolene Glotfelty, LBSW
• Haley Goodall
• Great Lakes Bay Health Centers
• Mandy Grenier, BS
• Eric Halaka, PHARM.D.
• Suzanne Lynn Haslip, OT
• Amber Lyn Hatcher
• Karen Heier
• Judy E Herbolsheimer, PA-C
• Audrey Hoebecke

• Urology Physician in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.