NPIMap

Individual provider Active NPI

Surayia T Hasan II, MD

  • Internal Medicine Physician
  • Beckley, WV
National Provider Identifier
1891892899
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10749 Issued in WV
Practice address
224 Professional Park
Beckley, WV 25801-3624
Phone
(304) 255-9444
Fax
(304) 255-9447
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 10749 WV Primary

Addresses

Primary practice location

224 Professional Park
Beckley, WV 25801-3624

Mailing address

224 Professional Park
Beckley, WV 25801-3624
Phone (304) 255-9444

Other identifiers 7

IdentifierTypeStateIssuer
P00392418OtherWVRAIL ROAD MEDICARE
001714922OtherWVBCBS
1039817OtherWVWORKMANS COMPENSATION
1086111OtherWVUMWA
100285OtherWVDOL
0074965000MedicaidWV
110146642OtherWV110146642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20070402000150 WV Practitioner - Internal Medicine 9739113127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Cranberry Creek Dr
Beckley, WV 25801-4167

224 Professional Park
Beckley, WV 25801-3624

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Beckley, WV, CCN 517125
  • Amedisys Home Health of West Virginia Home health agency, Beckley, WV, CCN 517054
  • PCH Home Health Home health agency, Princeton, WV, CCN 517081
  • Beckley Arh Home Health Home health agency, Beckley, WV, CCN 517076
  • Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
92.57
Promoting interoperability
100
Improvement activities
40
Cost
69.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc CurrentSince Oct 21, 2018 Accepting new patients
Community Health Systems, Inc. CurrentSince Oct 21, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients
Tamarack LTD PastSince Dec 28, 2000 Accepting new patients
Associates in OB GYN, Inc Past Accepting new patients

Locations

224 Professional Park
Beckley, WV 25801
Phone (304) 255-9444

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

Interoperability endpoints

  • Direct secure messaging: surayia.hasan@wvafn.hcadirect.net
  • Direct secure messaging: surayia.hasan.1@14333.direct.athenahealth.com

Organizations & group practices 5

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1891892899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PROFESSIONAL PARK",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013624",
            "telephone_number": "304-255-9444",
            "fax_number": "304-255-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PROFESSIONAL PARK",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013624",
            "telephone_number": "304-255-9444",
            "fax_number": "304-255-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SURAYIA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "10749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00392418",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001714922",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMPENSATION",
            "identifier": "1039817",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1086111",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "100285",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074965000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "110146642",
            "identifier": "110146642",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.