Individual provider Active NPI

Mohamed Satti Yassin, M.D.

  • Specialist
  • Saint Cloud, MN
National Provider Identifier
1811923659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32468 Issued in MN
Practice address
1511 Northway Dr
Suite 101
Saint Cloud, MN 56303-1261
Phone
(320) 654-8266
Fax
(320) 654-8481
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32468 MN Primary

Addresses

Primary practice location

1511 Northway Dr
Suite 101
Saint Cloud, MN 56303-1261

Mailing address

1511 Northway Drive Suite 101
Saint Cloud, MN 56303
Phone (320) 654-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110115000027 MN Practitioner - Allergy/Immunology 3274590633

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1511 Northway Dr
Suite 101
Saint Cloud, MN 56303-1262

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32468MNMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: myassin1652@direct.centracare.com

Hospital & facility affiliations 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811923659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DRIVE SUITE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-654-8266",
            "fax_number": "320-654-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DR",
            "address_2": "SUITE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031261",
            "telephone_number": "320-654-8266",
            "fax_number": "320-654-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSIN",
        "first_name": "MOHAMED",
        "middle_name": "SATTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "32468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.