Active NPI
Hassan Haji-Abdirahman, MD
- Hospitalist Physician
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 65195-020
- Practice address
- 3400 E Racine St
Janesville, WI 53546-2344 - Phone
- (608) 373-8000
- Fax
- (608) 373-8006
- NPI assigned
- Aug 12, 2009
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 65195-020 | WI | Primary |
Addresses
Primary practice location
3400 E Racine St
Janesville, WI 53546-2344
Mailing address
3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972735785 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hhajiabdirahman264065@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65195-020 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Hospitalist | Current | Accepting new patients |
| Dean Health Systems, Inc | Hospitalist | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| SSM Health Care of Wisconsin Inc | Hospitalist | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Apogee Medical Group, Wisconsin, S.C | Current | Accepting new patients | |
| SSM Health Care of Wisconsin, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900
3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
7153 Solutions Ctr
Chicago, IL 60677
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Interoperability endpoints
- hhajiabdirahman156051@direct.unitypoint.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Hospitalist
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1972735785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 E RACINE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462344",
"telephone_number": "608-373-8000",
"fax_number": "608-373-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 E RACINE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462344",
"telephone_number": "608-373-8000",
"fax_number": "608-373-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJI-ABDIRAHMAN",
"first_name": "HASSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-12",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "65195-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972735785",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hhajiabdirahman264065@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "hhajiabdirahman264065@direct-ehr-ssmhc.com",
"address_1": "3400 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462344",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3400 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.