HASAN M QUTOB (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1285793521

HASAN M QUTOB (MD) is a healthcare provider. based in Jackson, Michigan. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301070269 (MI). The NPI Number for HASAN M QUTOB (MD) is 1285793521

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
HASAN M QUTOB (MD)
NPI
1285793521
Phone
(734) 604-9626
Address
817 W High St
Enumeration Date
6 December 2006
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5177873577
Graduation Year
1987 (39 years ago)
PAC ID
7012917487
Group Practice PAC ID
0042545535
Professional Enrollment ID
I20070109000137
Address ID
MI492012462JA205XXAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

300 ENDOCRINOLOGY in MI

Provider Addresses for HASAN M QUTOB (MD)

  • 817 W High St

    Jackson, MI 492032986

    Phone: (734) 604-9626

    Type: Location

  • 817, West High Street, Carbondale, Jackson County, Illinois, 62901, United States

    JACKSON, MI 492032986

    Phone: (734) 604-9626

    Type: Location

  • PO BOX 71

    JACKSON, MI 492040071

    Phone:

    Type: Mailing

  • PO BOX 781076

    DETROIT, MI 482781008

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

  • 1225 E COOLSPRING AVE STE 2C

    MICHIGAN CITY, IN 463606312

    Phone: (219) 877-1298

    Fax: (219) 877-1016

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $424.

Total Amount is formed as General ($424) + Research ($0) + Ownership ($0) = $424.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Abbott Laboratories ($282).

Total Amount

$424

General + Research + Ownership

Payments

11

Total payment records

General Amount

$424

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2007-01-09

PECOS data refreshed: 2026-05-27

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
I20070109000137IEndocrinologyMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes876494$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes415128$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report263155$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8987$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 49203)

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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: 0042545535View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Internal MedicineMI
Cardiovascular Disease (Cardiology), Interventional CardiologyMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology), Internal MedicineLA

Reviews

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Frequently asked questions

Is HASAN M QUTOB (MD) listed with a National Provider Identifier?
Yes — HASAN M QUTOB (MD) has NPI 1285793521 on file in the registry.
Is HASAN M QUTOB (MD) still an active registrant?
HASAN M QUTOB (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for HASAN M QUTOB (MD)?
At a glance, HASAN M QUTOB (MD) is tied to Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for HASAN M QUTOB (MD)?
Travel planning: use Jackson, Michigan as the reference point for HASAN M QUTOB (MD), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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