Active NPI
Mohamad Charif Hassan, M.D
- Pediatrics Physician
- Corpus Christi, TX
National Provider Identifier
1699961102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M8705
- Practice address
- 2120 Baldwin Blvd
Corpus Christi, TX 78405-2010 - Phone
- (361) 500-0096
- Fax
- (361) 500-0098
- NPI assigned
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M8705 | TX | Primary |
Addresses
Primary practice location
2120 Baldwin Blvd
Corpus Christi, TX 78405-2010
Mailing address
PO Box 102
Beeville, TX 78104-0102
Phone (361) 362-8184
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171353905 | Medicaid | TX | |
| 171353901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8705 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Emergency Associates LLC | Current | Accepting new patients | |
| Nueces Emergency Medicine Associates PA | Current | Accepting new patients | |
| Victoria Pediatrics & Adolescents Assoc. | Past | Accepting new patients | |
| Kids Care PLLC | Pediatrics | Past | Accepting new patients |
| Antrados, P.a. | Pediatrics | Past | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Children'S Physician Services of South Texas | Past | Accepting new patients |
Locations
3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
101 Medical Dr
Victoria, TX 77904
Phone (361) 573-6100
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1215314364
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
-
- Pediatrics Physician
- Corpus Christi, TX
- NPI 1629376488
-
- Diagnostic Radiology Physician
- Corpus Christi, TX
- NPI 1598737124
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Pediatrics Physician
- Beeville, TX
- NPI 1124631437
-
- Primary Care Clinic/Center
- Victoria, TX
- NPI 1033128772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1699961102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "BEEVILLE",
"state": "TX",
"postal_code": "781040102",
"telephone_number": "361-362-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 BALDWIN BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784052010",
"telephone_number": "361-500-0096",
"fax_number": "361-500-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MOHAMAD",
"middle_name": "CHARIF",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-18",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M8705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171353905",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171353901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.