SYED D HASAN (MD) – Family Medicine Physician, NPI 1245598127

SYED D HASAN (MD) is a healthcare provider. based in Greenfield, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 61291-20 (WI). The NPI Number for SYED D HASAN (MD) is 1245598127

Main info

Male
Accepts Medicare Assignment
Name
SYED D HASAN (MD)
NPI
1245598127
Phone
(414) 421-8400
Address
6901 W EDGERTON AVE
Enumeration Date
27 April 2012
Last Update Date
12 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7139487000
Graduation Year
null (2026 years ago)
PAC ID
1850613035
Group Practice PAC ID
7113258500
Professional Enrollment ID
I20170609000040
Address ID
TX775053959PA4500XSXXX602
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for SYED D HASAN (MD)

  • 6901 W EDGERTON AVE

    GREENFIELD, WI 532204420

    Phone: (414) 421-8400

    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)

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: 2017-06-09

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
I20170609000040IFamily PracticeTXTBD

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 53220)

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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: 7113258500View full group profile
NameSpecialtyState
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency Medicine, Family PracticeLA
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineTX

Reviews

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Frequently asked questions

Can I verify SYED D HASAN (MD) with an NPI only?
You can start verification with NPI 1245598127 for SYED D HASAN (MD), then check state licensing separately.
Can I rely on SYED D HASAN (MD) being an active provider?
As of the registry snapshot, SYED D HASAN (MD) is marked active.
What is SYED D HASAN (MD)'s specialty?
The listing groups SYED D HASAN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does SYED D HASAN (MD) list a practice location?
Patients near Greenfield, Wisconsin may find SYED D HASAN (MD) in results; validate coverage separately.
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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