Mazen Hasan, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101271162 Issued in VA

Practice address

83 Hillcrest Dr
Suite 100
Punxsutawney, PA 15767-2605

Phone

(814) 938-3503

Fax

(814) 938-4525

NPI assigned

May 14, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Urology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
• Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
• Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
• Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

Merit-based Incentive Payment System (MIPS)

Final score

82.67 of 100Reported as group

Quality

66.8

Promoting interoperability

100

Improvement activities

40

Cost

75.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lewis Gale Physicians LLC

  • Internal Medicine Physician
  • Salem, VA
  • NPI 1902977705
  Medicare reassignment Care Compare group NPD
• Punxsutawney Medical Services

  • Neuromusculoskeletal Medicine & OMM Physician
  • Punxsutawney, PA
  • NPI 1215335302
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Roanoke, VA
  • NPI 1124059688
  Care Compare affiliation
• Lewis-Gale Medical Center, LLC

  • General Acute Care Hospital
  • Salem, VA
  • NPI 1619914785
  Care Compare affiliation
• Montgomery Regional Hospital Inc

  • General Acute Care Hospital
  • Blacksburg, VA
  • NPI 1275570376
  Care Compare affiliation
• Pulaski Community Hospital Inc

  • General Acute Care Hospital
  • Pulaski, VA
  • NPI 1205882396
  Care Compare affiliation
• Pulaski Community Hospital, Inc.

  • Psychiatric Hospital Unit
  • Pulaski, VA
  • NPI 1477018893
  Care Compare affiliation

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1386859205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 HOSPITAL DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607023",
            "telephone_number": "540-552-1353",
            "fax_number": "540-443-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HILLCREST DR",
            "address_2": "SUITE 100",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-3503",
            "fax_number": "814-938-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607023",
            "country_code": "US",
            "telephone_number": "540-552-1353",
            "fax_number": "540-443-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-01-04",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101271162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MAZEN.HASAN@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "840 Hospital Dr",
            "city": "Blacksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240607023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wendy Haldeman, PA
• Kimberly Hall-Horner, RPH
• Andrew Handlos, MD
• Kristina A Harry, CRNP
• Ritchey A Hartman, OTR/L
• Health Services of Clarion, Inc
• Healthy Hearts Sleep Center
• Jonathan L Heid, M-ED
• Marilyn Hense, CRNA
• Gina Hetrick, LPC

• Urology Physician in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.