Individual provider Active NPI

Mohammad Kamrul Hasan

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1386402089
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P126947 Issued in NY
Practice address
10 Claremont Ave
Mount Vernon, NY 10550-1609
Phone
(914) 699-1600
NPI assigned
Mar 8, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 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 P126947 NY Primary

Addresses

Primary practice location

10 Claremont Ave
Mount Vernon, NY 10550-1609

Mailing address

1994A Powell Ave
Bronx, NY 10472-5106
Phone (718) 607-8951

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
I20240321002341 NY Practitioner - Internal Medicine 5890132146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

10 Claremont Ave
Mount Vernon, NY 10550-1609
Phone (914) 699-1600

14310 20TH Ave
Whitestone, NY 11357-3046
Phone (646) 296-1508

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical PLLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Mill Basin Medical Health PC Internal Medicine CurrentSince Apr 21, 2025 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Bridge View Nursing Home, Inc. Past Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

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

161 Jefferson Hts
Catskill, NY 12414
Phone (205) 535-7389

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

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

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

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

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

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

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

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 4

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": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1386402089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994A POWELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104725106",
            "telephone_number": "718-607-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CLAREMONT AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501609",
            "telephone_number": "914-699-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MOHAMMAD",
        "middle_name": "KAMRUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P126947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.