Individual provider Active NPI

Syed Hasan, MD

  • Orthopaedic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1376633867
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
XXX Issued in MD
Practice address
2200 Kernan Dr
Baltimore, MD 21207-6665
Phone
(410) 448-7112
Fax
(410) 448-6296
NPI assigned
Oct 13, 2006
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E-3787 AR
Orthopaedic Surgery Physician 207X00000X XXX MD Primary
Orthopaedic Trauma Physician 207XX0801X XXX MD

Addresses

Primary practice location

2200 Kernan Dr
Baltimore, MD 21207-6665

Mailing address

PO Box 64881
Baltimore, MD 21264-4881
Phone (410) 448-7112

Other identifiers 1

IdentifierTypeStateIssuer
150440001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101201000066 DC Practitioner - Orthopedic Surgery 0648266700 Reassigns benefits to 1 organization
I20101201000085 MD Practitioner - Orthopedic Surgery 0648266700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 448-6259

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 328-6704

4321 Hartwick Rd
Suite 102
College Park, MD 20740-3201
Phone (301) 403-8811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-3787ARMDOrthopaedic Surgery Physician
XXXMDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Orthopaedic Trauma Associates, PA Orthopaedic Trauma CurrentSince Sep 1, 2010 Accepting new patients
University of Maryland Orthopaedic Associates PA Orthopaedic Surgery CurrentSince Sep 1, 2010 Accepting new patients
University of Maryland Orthopaedic Associates P a Orthopaedic Surgery CurrentSince Sep 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 Hilltop Cir
Baltimore, MD 21250
Phone (410) 455-1000

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2200 Kernan Dr
#L
Baltimore, MD 21207
Phone (410) 448-6417

351 W Camden St
Fl 5
Baltimore, MD 21201
Phone (410) 328-6040

5500 Knoll North Dr
Columbia, MD 21045
Phone (410) 553-8290

7140 Contee Rd
Ste 3000
Laurel, MD 20707
Phone (667) 214-2732

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

Interoperability endpoints

  • Direct secure messaging: shasan9103@direct.umm.edu

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, 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1376633867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64881",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644881",
            "telephone_number": "410-448-7112",
            "fax_number": "410-448-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076665",
            "telephone_number": "410-448-7112",
            "fax_number": "410-448-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SYED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E-3787",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "XXX",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MD",
            "license": "XXX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150440001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.