NPIMap

Individual provider Active NPI

Syed P Hasan, M.D.

  • Internal Medicine Physician
  • Warrensburg, MO
National Provider Identifier
1861418121
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2002021167 Issued in MO
Practice address
514 Burkarth Rd
Warrensburg, MO 64093-3104
Phone
(660) 429-2128
Fax
(660) 429-3615
NPI assigned
Jul 13, 2006
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2002021167 MO Primary
Hematology (Internal Medicine) Physician 207RH0000X 2002021167 MO

Addresses

Primary practice location

514 Burkarth Rd
Warrensburg, MO 64093-3104

Mailing address

514 Burkarth Rd
Warrensburg, MO 64093-3104
Phone (660) 429-2128

Other identifiers 1

IdentifierTypeStateIssuer
207660507MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20060414000077 MO Practitioner - Internal MedicinePractitioner - Hematology/Oncology 4789693011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.21 of 100Reported as group
Quality
82.95
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002021167MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Western Missouri Medical Center Current Accepting new patients
Western Missouri Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Country Club Operator LLC Past Accepting new patients
Western Missouri Medical Center Past Accepting new patients
Holden Manor Health & Rehabilitation LLC Past Accepting new patients
Warrensburg Manor Inc Past Accepting new patients
Warrensburg 1 Inc Past Accepting new patients

Locations

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

514 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 429-2128

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/81eb3df5-7690-4c07-9f5d-6ffda1c2ed5c/

Organizations & group practices 8

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 10

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1861418121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933104",
            "telephone_number": "660-429-2128",
            "fax_number": "660-429-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933104",
            "telephone_number": "660-429-2128",
            "fax_number": "660-429-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SYED",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2002021167",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MO",
            "license": "2002021167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207660507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.