NPIMap

Individual provider Active NPI

Rafi A Hasan, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1700864329
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34260 Issued in KY
Practice address
250 E Liberty St
Ste200
Louisville, KY 40202-1530
Phone
(502) 568-6722
Fax
(502) 568-6733
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34260 KY Primary

Addresses

Primary practice location

250 E Liberty St
Ste200
Louisville, KY 40202-1530

Mailing address

250 E Liberty St
Ste 200
Louisville, KY 40202-1530
Phone (502) 568-6722

Other identifiers 1

IdentifierTypeStateIssuer
64016033MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000313 KY Practitioner - Internal Medicine 6305750043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Internal Medicine P.S.CGroup PAC ID 7618881350, 2 clinicians

Practice addresses (Care Compare)

250 E Liberty St
Suite 420
Louisville, KY 40202-1530
Phone (502) 244-9859

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Internal Medicine P.S.C Internal Medicine CurrentSince Apr 30, 2003 Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients

Locations

250 E Liberty St
Ste 200
Louisville, KY 40202
Phone (502) 212-9393

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

250 E Liberty St
Ste 420
Louisville, KY 40202
Phone (502) 568-6722

Organizations & group practices 2

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1700864329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E LIBERTY ST",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021530",
            "telephone_number": "502-568-6722",
            "fax_number": "502-568-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E LIBERTY ST",
            "address_2": "STE200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021530",
            "telephone_number": "502-568-6722",
            "fax_number": "502-568-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "RAFI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64016033",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.