Individual provider Active NPI

Safrina Hasan, DO

  • Internal Medicine Physician
  • Frederick, MD
National Provider Identifier
1679524540
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H64135 Issued in MD
Practice address
400 W Seventh St
Frederick, MD 21701-4506
Phone
(843) 237-3378
Fax
(843) 237-5073
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Hospitalist
Also: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Metabolic and Primary Care Associates LLC (3 clinicians)
Hospitalist Medicine Physicians of Maryland PC (71 clinicians)

Practice addresses (Care Compare)

184 Thomas Johnson Dr
Suite 201
Frederick, MD 21702-4562
Phone (240) 949-7519

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300

Hospital & facility affiliations

  • Frederick Health Hospital Hospital · Frederick, MD · CCN 210005

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060509000921 MD Practitioner - Hospitalist
Practitioner - Internal Medicine
6406867126 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine Current
since Aug 1, 2015
Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine Current
since Aug 1, 2015
Accepting new patients
Frederick Metabolic and Primary Care Associates LLC Internal Medicine Current
since Dec 23, 2024
Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
#H
Frederick, MD 21701
Phone (240) 566-3300

184 Thomas Johnson Dr
Ste 201
Frederick, MD 21702
Phone (240) 949-7519

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BADHDD/Endpoint/BADHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BADHDD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H64135 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

400 W Seventh St
Frederick, MD 21701-4506

Mailing address

PO Box 601360
Charlotte, NC 28260-1360
Phone (843) 237-3378

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
410158800MedicaidMD
3810005256MedicaidWV
88331401OtherMDBCBS OF MD
P00313317OtherMDRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2009.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1679524540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601360",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601360",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W SEVENTH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SAFRINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H64135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410158800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005256",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "88331401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00313317",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.