MOHAMED HASSAN (MD) – Internal Medicine Physician, NPI 1063836765

MOHAMED HASSAN (MD) is a healthcare provider. based in Jasper, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD.35658 (AL). The NPI Number for MOHAMED HASSAN (MD) is 1063836765

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMED HASSAN (MD)
NPI
1063836765
Phone
(205) 387-4000
Address
3400 Highway 78 E
Enumeration Date
15 February 2014
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2058383450
Graduation Year
2005 (21 years ago)
PAC ID
2961789177
Group Practice PAC ID
3971417825
Professional Enrollment ID
I20170425002513
Address ID
AL352353401BI50XXXEXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

Provider Addresses for MOHAMED HASSAN (MD)

  • 3400 Highway 78 E

    Jasper, AL 355018956

    Phone: (205) 387-4000

    Type: Location

  • 121 BUMPER CROP LN NW

    MADISON, AL 357576963

    Phone: (813) 328-9617

    Type: Mailing

  • 5569 GROVE BLVD

    HOOVER, AL 35226

    Phone: (205) 637-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($123).

Total Amount

$314

General + Research + Ownership

Payments

6

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170425002513IInternal MedicineALTBD
I20200110002575IInternal MedicineDCTBD
I20240110002262IInternal MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance12852$0
99214Established patient office or other outpatient visit, 30-39 minutes10563$0
99204New patient office or other outpatient visit, 45-59 minutes9696$0
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance4731$0
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance4625$0
View full utilization report →

Insurance plans in this area (ZIP 35501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971417825View full group profile

Reviews

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Frequently asked questions

Does MOHAMED HASSAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MOHAMED HASSAN (MD) uses 1063836765.
Can I rely on MOHAMED HASSAN (MD) being an active provider?
As of the registry snapshot, MOHAMED HASSAN (MD) is marked active.
What healthcare role does MOHAMED HASSAN (MD) hold?
Scheduling teams often label MOHAMED HASSAN (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MOHAMED HASSAN (MD) based?
MOHAMED HASSAN (MD) is tied to Jasper, Alabama in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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