SYED OMMAR HASSAN (MD) – Family Medicine Physician, NPI 1063637544

SYED OMMAR HASSAN (MD) is a healthcare provider. based in Crystal lake, Illinois. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 57012414 (OH). The NPI Number for SYED OMMAR HASSAN (MD) is 1063637544

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
SYED OMMAR HASSAN (MD)
NPI
1063637544
Phone
(779) 220-5500
Address
875 S. Route 31
Enumeration Date
17 April 2007
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8153444499
Graduation Year
1998 (28 years ago)
PAC ID
7517013154
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20131021001358
Address ID
IL600503179MC3922XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

5,052 FAMILY PRACTICE in IL

Provider Addresses for SYED OMMAR HASSAN (MD)

  • 875 S. Route 31

    Crystal Lake, IL 60014

    Phone: (779) 220-5500

    Type: Location

  • 3922 MERCY DR

    MCHENRY, IL 600503179

    Phone: (815) 344-4499

    Fax: (815) 344-4779

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-10-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20131021001358IFamily PracticeILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes716334$0
99214Established patient office or other outpatient visit, 30-39 minutes290206$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit276276$0
96372Injection of drug or substance under skin or into muscle17644$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg16839$0
View full utilization report →

Insurance plans in this area (ZIP 60014)

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Provider's Procedures

SYED OMMAR HASSAN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL90670Pneumococcal vaccine for injection into muscle7373

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: 7416860440View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to SYED OMMAR HASSAN (MD)?
NPI 1063637544 is assigned to SYED OMMAR HASSAN (MD) under the national enumeration system.
Is SYED OMMAR HASSAN (MD) currently active in the NPI registry?
CMS-published data lists SYED OMMAR HASSAN (MD) as an active registrant.
Can you summarize SYED OMMAR HASSAN (MD)'s specialty in plain language?
Clinically, the directory lists SYED OMMAR HASSAN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SYED OMMAR HASSAN (MD)'s primary listing?
We display Crystal Lake, Illinois because that is what the record indicates for SYED OMMAR HASSAN (MD).
Is SYED OMMAR HASSAN (MD) a real provider?
This page reflects official NPPES data for NPI 1063637544. Always confirm identity and privileges with the practice and licensing boards.

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