ALI HASSAN (MD) – Internal Medicine Physician, NPI 1396977062

ALI HASSAN (MD) is a healthcare provider. based in Springfield, Missouri. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. T2009011772 (MO). The NPI Number for ALI HASSAN (MD) is 1396977062

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
ALI HASSAN (MD)
NPI
1396977062
Phone
Not provided
Address
PO BOX 4046
Enumeration Date
14 August 2009
Last Update Date
21 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302590440
Graduation Year
2004 (22 years ago)
PAC ID
9133379654
Group Practice PAC ID
3678551330
Professional Enrollment ID
I20171120002921
Address ID
OH445125082BO970XXCTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:16State licenses:2Digital endpointsOther names

319 NEPHROLOGY in MO

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Provider Addresses for ALI HASSAN (MD)

  • Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg

    SPRINGFIELD, MO 658084046

    Phone:

    Type: Mailing

  • South National, Springfield, Greene County, Missouri, United States

    SPRINGFIELD, MO 658075210

    Phone: (417) 269-7728

    Fax: (417) 269-7729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $1,776.

Total Amount is formed as General ($1,776) + Research ($0) + Ownership ($0) = $1,776.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($497).

Total Amount

$1,776

General + Research + Ownership

Payments

98

Total payment records

General Amount

$1,776

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2017-11-20

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
I20171120002921INephrologyOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes856218$0
99214Established patient office or other outpatient visit, 30-39 minutes424220$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes367134$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes229175$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)14429$0
View full utilization report →

Insurance plans in this area (ZIP 65808)

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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: 3678551330View full group profile
NameSpecialtyState
Nurse PractitionerOH
N E P H R O L O G YOH
Nurse PractitionerOH
Certified Clinical Nurse Specialist (Cns)OH
-OH

Reviews

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Frequently asked questions

Can I cross-check ALI HASSAN (MD) using NPI 1396977062?
NPI 1396977062 belongs to ALI HASSAN (MD); compare other details if you need extra assurance.
Is ALI HASSAN (MD) still an active registrant?
ALI HASSAN (MD) carries an active NPI according to the public dataset.
What area of care is associated with ALI HASSAN (MD)?
ALI HASSAN (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALI HASSAN (MD)?
Travel planning: use Springfield, Missouri as the reference point for ALI HASSAN (MD), then confirm.
Can I trust this NPI listing for ALI HASSAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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