Individual provider Active NPI

Muhammad H Hasan, MD

  • Nephrology Physician
  • Harvey, IL
National Provider Identifier
1508008517
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036135696 Issued in IL
Practice address
71 W 156TH St Ste 203
Harvey, IL 60426-4262
Phone
(708) 251-4190
Fax
(708) 251-4193
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036135696 IL
Nephrology Physician 207RN0300X 036135696 IL Primary

Addresses

Primary practice location

71 W 156TH St Ste 203
Harvey, IL 60426-4262

Mailing address

713 Saint Josephs Dr
Oak Brook, IL 60523-2570
Phone (708) 251-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170320000676 IL Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Hospitalist 0749338879 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist, Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Associates LTDGroup PAC ID 3577595545, 6 clinicians

Practice addresses (Care Compare)

3913 W 95TH St
Evergreen Park, IL 60805-1903
Phone (708) 570-4461

Hospital & facility affiliations

  • DaVita Olympia Fields Dialysis Center Dialysis facility, Matteson, IL, CCN 142548
  • DaVita South Holland Renal Center Dialysis facility, South Holland, IL, CCN 142544
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036135696ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Associates LTD Nephrology CurrentSince Feb 1, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 24, 2019 Accepting new patients
Dr. Almasri and Associates Inc. CurrentSince Sep 1, 2018 Accepting new patients
Southwest Physicians Associates, S. C. CurrentSince Feb 19, 2022 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Jan 24, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2019 Accepting new patients
Mercy Medical Services, Inc Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

3913 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-1444

2955 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-0022

71 W 156th St
Ste 203
Harvey, IL 60426
Phone (708) 331-0405

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

6300 159th St
Ste C
Oak Forest, IL 60452
Phone (708) 535-3300

14640 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 403-8130

12632 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 587-0000

Interoperability endpoints

  • Direct secure messaging: mhasan239579@direct.franciscanalliance.org

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1508008517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 SAINT JOSEPHS DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232570",
            "telephone_number": "708-251-4190",
            "fax_number": "708-251-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 156TH ST STE 203",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264262",
            "telephone_number": "708-251-4190",
            "fax_number": "708-251-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MUHAMMAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036135696",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036135696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.