Individual provider Active NPI

Syed Murtaza Hasan, MD

  • Family Medicine Physician
  • Neillsville, WI
National Provider Identifier
1689089674
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82397 Issued in WI
Practice address
N3708 River Ave
Neillsville, WI 54456-7218
Phone
(260) 234-5400
Fax
(260) 234-5110
NPI assigned
Jun 27, 2014
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01077419A IN
Family Medicine Physician 207Q00000X 01077419A IN
Family Medicine Physician 207Q00000X 82397 WI Primary

Addresses

Primary practice location

N3708 River Ave
Neillsville, WI 54456-7218

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-7218
Phone (715) 387-5511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shasan3@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MN, WI, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20161115001941 IN Practitioner - Family PracticePractitioner - Emergency Medicine 9931327475 Reassigns benefits to 2 organizations
I20171027002568 MN Practitioner - Emergency Medicine 9931327475 Reassigns benefits to 1 organization
I20210923003771 WI Practitioner - Family Practice 9931327475 Reassigns benefits to 9 organizations
I20240415003030 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9931327475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (469) 420-5527

10655 Steepletop Dr
Houston, TX 77065-4222
Phone (281) 890-4285

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01077419AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Sep 13, 2021 Accepting new patients
Indiana University Health Fort Wayne Physicians, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Avera Marshall CurrentSince Aug 14, 2017 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 6, 2023 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Avera Marshall Current Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 6, 2023 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Sep 17, 2019 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 6, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 30, 2022 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 13, 2021 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Sep 17, 2019 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc Emergency Medicine CurrentSince Sep 13, 2021 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 6, 2023 Accepting new patients
Avera Marshall CurrentSince Aug 14, 2017 Accepting new patients

Locations (25 of 30)

3832 Solutions Ctr
Chicago, IL 60677

1316 E 7th St
Ste 4
Auburn, IN 46706
Phone (260) 920-2000

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

1100 Mercer Ave
Decatur, IN 46733

7230 Engle Rd
Ste 100
Fort Wayne, IN 46804
Phone (317) 620-0232

10215 Auburn Park Dr
Fort Wayne, IN 46825
Phone (260) 490-2229

256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806

7230 Engle Rd
Fort Wayne, IN 46804
Phone (219) 422-9466

996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

10655 Steepletop Dr
Houston, TX 77065
Phone (281) 890-4285

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

Interoperability endpoints

  • Direct secure messaging: syed.hasan@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: syed.m.hasan.1@13131.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1689089674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544497218",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3708 RIVER AVE",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544567218",
            "telephone_number": "260-234-5400",
            "fax_number": "260-234-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SYED",
        "middle_name": "MURTAZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01077419A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01077419A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "82397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shasan3@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "10215 Auburn Park Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468252387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neillsville, WI

Sources for this page

Verify at the official NPI Registry.