Individual provider Active NPI

Tahir Hassan, M.D

  • Internal Medicine Physician
  • Madera, CA
National Provider Identifier
1346228780
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51092 Issued in CA
Practice address
708 W Yosemite Ave
Madera, CA 93637-4551
Phone
(559) 673-1111
Fax
(559) 673-1414
NPI assigned
Jan 5, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 C51092 CA Primary

Addresses

Primary practice location

708 W Yosemite Ave
Madera, CA 93637-4551

Mailing address

708 W Yosemite Ave
Madera, CA 93637-4551
Phone (559) 673-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040406000752 CA Practitioner - Internal Medicine 8628061645 Practice locations: Madera, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 E Almond Ave
Suite 101
Madera, CA 93637-5750
Phone (559) 673-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA066933NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Anthony's Hospital Association Past Accepting new patients
St. Anthony's Hospital Association Past Accepting new patients
Madera Family Medical Group Lab Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thassan@thassan.curemd.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1346228780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374551",
            "telephone_number": "559-673-1111",
            "fax_number": "559-673-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374551",
            "telephone_number": "559-673-1111",
            "fax_number": "559-673-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "TAHIR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.