FEEZA HASAN – Internal Medicine Physician, NPI 1346828704

FEEZA HASAN is a healthcare provider. based in Fort worth, Texas. specializing in INTERNAL MEDICINE. They hold a License No. V2097 (TX). The NPI Number for FEEZA HASAN is 1346828704

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
FEEZA HASAN
NPI
1346828704
Phone
(817) 725-7880
Address
1001 12TH AVE STE 102
Enumeration Date
29 March 2021
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
8178774105
Graduation Year
2021 (5 years ago)
PAC ID
2961806278
Group Practice PAC ID
7113904657
Professional Enrollment ID
I20240717001145
Address ID
TX762445425FO3848XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for FEEZA HASAN

  • 1001 12TH AVE STE 102

    FORT WORTH, TX 761043926

    Phone: (817) 725-7880

    Fax: (817) 447-7110

    Type: Location

  • 713 E ANDERSON ST

    WEATHERFORD, TX 760865705

    Phone: (682) 582-2922

    Type: Mailing

  • 265 SE John Jones Dr Ste 102

    Burleson, TX 760288356

    Phone: (682) 990-0747

    Type: Location

  • 713 E Anderson St

    Weatherford, TX 760865705

    Phone: (682) 582-2922

    Type: Location

  • 909 9th Ave Ste 400

    Fort Worth, TX 761043932

    Phone: (817) 725-7880

    Type: Location

  • 3848 N Tarrant Pkwy Ste 160

    Fort Worth, TX 762445425

    Phone: (817) 877-4105

    Type: Location

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: 2024-07-17

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
I20240717001145IInternal MedicineTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76104)

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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: 7113904657View full group profile
NameSpecialtyState
Physician AssistantTX
Nephrology, Internal MedicineTX
Physician AssistantTX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Internal MedicineTX
Nephrology, Internal MedicineTX
Physician AssistantTX
Internal MedicineTX
Internal MedicineLA

Reviews

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Frequently asked questions

What is the 10-digit NPI for FEEZA HASAN?
FEEZA HASAN — NPI 1346828704 — is the standard way to identify this listing.
Can I rely on FEEZA HASAN being an active provider?
As of the registry snapshot, FEEZA HASAN is marked active.
What is FEEZA HASAN best known for clinically?
Directory data describes FEEZA HASAN with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for FEEZA HASAN?
FEEZA HASAN's geographic hint is Fort Worth, Texas in our summary view.
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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