MIRZA SHAHZAD HASAN (MD) – Surgery Physician, NPI 1477653467

MIRZA SHAHZAD HASAN (MD) is a healthcare provider. based in Maumee, Ohio. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 04-27855 (KS). The NPI Number for MIRZA SHAHZAD HASAN (MD) is 1477653467

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MIRZA SHAHZAD HASAN (MD)
NPI
1477653467
Phone
(419) 893-5591
Address
999 ILLINOIS AVE
Enumeration Date
22 September 2006
Last Update Date
8 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195924015
Graduation Year
1986 (40 years ago)
PAC ID
0749264554
Group Practice PAC ID
0345141644
Professional Enrollment ID
I20120904000221
Address ID
OH435459805NA1600XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,600 GENERAL SURGERY in OH

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Provider Addresses for MIRZA SHAHZAD HASAN (MD)

  • Illinois Avenue, Maumee, Lucas County, Ohio, 43537, United States

    MAUMEE, OH 435371715

    Phone: (419) 893-5591

    Fax: (419) 893-0162

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-05-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$37
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: 2020-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120904000221IGeneral SurgeryOHTBD
I20201105001130IGeneral SurgeryINTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7849$0
99213Established patient office or other outpatient visit, 20-29 minutes6558$0
45380Biopsy of large bowel using a flexible endoscope3737$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 43537)

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Provider's Procedures

MIRZA SHAHZAD HASAN (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYOH36556Insertion of central venous catheter for infusion, patient 5 years or older2827

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: 0345141644View full group profile
NameSpecialtyState
H O S P I T A L I S TOH
Orthopedic SurgeryOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Diagnostic RadiologyNM
-OH
Physician AssistantOH
Certified Registered Nurse Anesthetist (Crna)MI
Family PracticeOH
-OH
U R O L O G YOH

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Frequently asked questions

What is the standard ID for MIRZA SHAHZAD HASAN (MD) in the U.S.?
In the U.S., MIRZA SHAHZAD HASAN (MD) is identified by NPI 1477653467.
Is MIRZA SHAHZAD HASAN (MD)'s NPI status active today?
Active status means MIRZA SHAHZAD HASAN (MD)'s NPI record is not deactivated in the public file.
How should patients interpret MIRZA SHAHZAD HASAN (MD)'s specialty?
The extract shows Surgery Physician for MIRZA SHAHZAD HASAN (MD). Clinical services aligned with this taxonomy classification.
Can patients visit MIRZA SHAHZAD HASAN (MD) in Maumee, Ohio?
For routing, start with Maumee, Ohio for MIRZA SHAHZAD HASAN (MD), then verify phone and hours locally.
Who maintains MIRZA SHAHZAD HASAN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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