Individual provider Active NPI

Taimur Muhammad Hasan

  • Podiatrist
  • Matthews, NC
National Provider Identifier
1720728710
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
862 Issued in NC
Practice address
428 N Trade St Ste 100
Matthews, NC 28105-1729
Phone
(704) 708-3403
NPI assigned
Mar 29, 2022
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 862 NC Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 862 NC

Addresses

Primary practice location

428 N Trade St Ste 100
Matthews, NC 28105-1729

Mailing address

428 N Trade St Ste 100
Matthews, NC 28105-1729
Phone (704) 708-3403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250929000277 NC Practitioner - Podiatry 0042715195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastover Foot and Ankle PAGroup PAC ID 0345147187, 4 clinicians

Practice addresses (Care Compare)

130 Lake Concord Rd NE
Suite B
Concord, NC 28025-1906
Phone (704) 786-4482

428 N Trade St
Suite 100
Matthews, NC 28105-1729
Phone (704) 841-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of nail tissue100
Removal or shaving of skin growth26
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
862NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Aug 21, 2025 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Aug 21, 2025 Accepting new patients
Eastover Foot & Ankle PA Podiatrist CurrentSince Aug 4, 2025 Accepting new patients

Locations

2607 E 7th St
Ste 100
Charlotte, NC 28204
Phone (704) 708-3403

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

Interoperability endpoints

  • Direct secure messaging: thasan@usfas.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1720728710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 N TRADE ST STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051729",
            "telephone_number": "704-708-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 N TRADE ST STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051729",
            "telephone_number": "704-708-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "TAIMUR",
        "middle_name": "MUHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "862",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.