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SHADI LEE MOHAMED HASSAN DO
NPI 1053250555
Internal Medicine in Des Moines, IA

Active since March 27, 2026PECOS Enrolled
1111 6TH AVE, DES MOINES, IA 50314(515) 643-2261(515) 643-5802 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shadi Lee Mohamed Hassan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADI LEE MOHAMED HASSAN DO (NPI 1053250555) is an individual internal medicine provider in Des Moines, Iowa, licensed in Iowa (R-13919) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053250555
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHADI LEE MOHAMED HASSANCredential: DO
Location Address1111 6TH AVEDes Moines, IA 50314-2613
Mailing Address1111 6th AveDes Moines, IA 50314-2613 · (515) 643-2261 · Fax (515) 643-5802
Phone(515) 643-2261
Fax(515) 643-5802
Sole ProprietorNo
Enumeration DateMarch 27, 2026
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1053250555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · R-13919
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1111 6TH AVE, Des Moines, IA 50314
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadi Lee Mohamed Hassan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY CLINICS, INC
Psychiatry & Neurology (Neurology)
1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314
Polk County (515) 358-0011
TODD EBERLE DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8678
JOSEPH JANSKY DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 612-9595
MYLES KAWAMURA DO
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Polk County (515) 247-3211
DR. CODY BRUNCLIK DO
Student in an Organized Health Care Education/Training Program
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 247-3121
TYLER MUMM DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
DR. MITCHELL R. ERICKSON M.D.
Radiology (Neuroradiology)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2667
DR. THERESA MARIE WAHLIG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadi Hassan's NPI number?

The NPI number for Shadi Hassan is 1053250555. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Shadi Hassan located?

Shadi Hassan practices at 1111 6th Ave, Des Moines, IA 50314. The listed phone number is (515) 643-2261.

What is Shadi Hassan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shadi Hassan enrolled in Medicare?

Yes. Shadi Hassan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shadi Hassan was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.