Active NPI
Ahmad Hasan, MD
- Obstetrics & Gynecology Physician
- Syracuse, NY
National Provider Identifier
1790736718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 238635
- Practice address
- 819 S Salina St
Syracuse, NY 13202-3536 - Phone
- (315) 476-7921
- Fax
- (315) 475-1448
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 238635 | NY | Primary |
Addresses
Primary practice location
819 S Salina St
Syracuse, NY 13202-3536
Mailing address
819 S Salina St
Syracuse, NY 13202-3536
Phone (315) 476-7921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02740132 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160610000847 | NY | Order and Referring Only - Obstetrics/Gynecology | 1759392285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Community Health Center, Inc. | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ahasan840702@nychhc.direct-ci.com
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.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1790736718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023536",
"telephone_number": "315-476-7921",
"fax_number": "315-475-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023536",
"telephone_number": "315-476-7921",
"fax_number": "315-475-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "AHMAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "238635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02740132",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.