Majdi N Al-Hasan, MD
Individual provider Active NPI Infectious Disease Physician · Sumter, SC
NPI 1477525822 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1477525822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 35368 (SC)
- Practice address
- 115 N Sumter St Ste 315
Sumter, SC 29150-4967 - Phone
- (803) 774-9787
- Fax
- (803) 774-9781
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Infectious Disease
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health Medical Group-Midlands
Practice addresses (Care Compare)
1 Richland Medical Park Dr
Suite 420
Columbia, SC 29203-6833
Phone (803) 545-5350
Hospital & facility affiliations
- Prisma Health Tuomey Hospital
- Prisma Health Richland Hospital
- Prisma Health Baptist Parkridge
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130226000525 | SC | Practitioner - Infectious Disease |
5395772362 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47834 | MN | MD | Infectious Disease Physician |
| 35368 | SC | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current |
Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current |
Accepting new patients |
Locations
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
1 Richland Medical Park Dr
Ste 420
Columbia, SC 29203
Phone (803) 434-6430
115 N Sumter St
Ste 315
Sumter, SC 29150
Phone (803) 774-9787
Interoperability endpoints
- malhasan376584@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 41444 | KY | |
| Infectious Disease Physician | 207RI0200X | 47834 | MN | |
| Infectious Disease Physician | 207RI0200X | 35368 | SC | Yes |
Addresses
Primary practice location
115 N Sumter St Ste 315
Sumter, SC 29150-4967
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other practice location 1
1 Richland Medical Park Road
Suite 420
Columbia, SC 29203
Phone (803) 545-5350
Other practice location 2
1 Richland Medical Park Road
Suite 420
Columbia, SC 29203
Phone (803) 545-5350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100060920 | Medicaid | KY | |
| 377119900 | Medicaid | MN | |
| 353682 | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malhasan376584@direct.ghs.myhfn.org | Direct |
Other providers in Sumter, SC
- Adhoc Healthcare Systems LLC
- Ahmir Home Care LLC
- Ahram & Iris LLC
- Denise Burns Ahtonen
- Victoria Akers
- Alderman Drug Co Inc
- Alderman Drug Company Inc
- Ashley E Alexander
- All American Health Care Inc
- Allheart Health Services, LLC
All providers in Sumter, SC · Infectious Disease Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.