Individual provider Active NPI

Mohammed Kamrul Hassan, DPM

  • Podiatrist
  • Whittier, CA
National Provider Identifier
1679001564
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5669 Issued in CA
Practice address
15141 Whittier Blvd Ste 330
Whittier, CA 90603-2168
Phone
(562) 399-5252
Fax
(562) 399-5253
NPI assigned
May 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 5669 CA Primary

Addresses

Primary practice location

15141 Whittier Blvd Ste 330
Whittier, CA 90603-2168

Mailing address

15141 Whittier Blvd Ste 330
Whittier, CA 90603-2168
Phone (562) 399-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629000422 CA Practitioner - Podiatry 1557783123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15141 Whittier Blvd
Suite 330
Whittier, CA 90603-2168
Phone (323) 892-6467

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions1-10
Removal of nail tissue194
Removal or shaving of skin growth65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Foot Care, Inc. Podiatrist CurrentSince Jun 15, 2020 Accepting new patients
Ankle & Foot Care Center Inc Podiatrist CurrentSince Jun 15, 2020 Accepting new patients
Michael D. Kotzen, Inc. CurrentSince Sep 13, 2020 Accepting new patients

Locations

139 W Hobsonway
Blythe, CA 92225
Phone (714) 280-2117

4077 Whittier Blvd
Los Angeles, CA 90023
Phone (562) 220-2630

12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902

15141 Whittier Blvd
Ste 330
Whittier, CA 90603
Phone (323) 892-6467

Organizations & group practices 3

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 1

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1679001564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15141 WHITTIER BLVD STE 330",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032168",
            "telephone_number": "562-399-5252",
            "fax_number": "562-399-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15141 WHITTIER BLVD STE 330",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032168",
            "telephone_number": "562-399-5252",
            "fax_number": "562-399-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MOHAMMED",
        "middle_name": "KAMRUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "5669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.