NPIMap

Individual provider Active NPI

Nadia Hasan, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1467890053
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017866 Issued in PA
Practice address
1840 South St
Philadelphia, PA 19146
Phone
(215) 893-6200
Fax
(215) 893-6215
NPI assigned
Jun 5, 2013
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT015209 PA
Family Medicine Physician 207Q00000X OS017866 PA Primary

Addresses

Primary practice location

1840 South St
Philadelphia, PA 19146

Mailing address

1840 South St
Philadelphia, PA 19146-7411
Phone (215) 893-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728001341 PA Practitioner - Family Practice 7214220201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS017866PAMDFamily Medicine Physician
OT015209PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. CurrentSince Jun 1, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Family Medicine CurrentSince Jul 25, 2018 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Family Medicine CurrentSince Jul 25, 2018 Accepting new patients
Temple Physicians Inc. Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 25, 2018 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Family Medicine CurrentSince Jul 25, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

11000 Roosevelt Blvd
#360
Philadelphia, PA 19116
Phone (215) 677-1475

1840 South St
Philadelphia, PA 19146
Phone (215) 893-6200

2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000

800 Walnut St
Fl 17
Philadelphia, PA 19107
Phone (215) 829-3016

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 8

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 7

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1467890053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191467411",
            "telephone_number": "215-893-6200",
            "fax_number": "215-893-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19146",
            "telephone_number": "215-893-6200",
            "fax_number": "215-893-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT015209",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.