PASSANT HASSAN IBRAHIM HASSA MOHAMED MD
NPI 1104566652
Nuclear Medicine - Nuclear Imaging & Therapy in Worcester, MA
About Passant Hassan Ibrahim Hassa Mohamed Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASSANT HASSAN IBRAHIM HASSA MOHAMED MD (NPI 1104566652) is an individual nuclear imaging & therapy provider in Worcester, Massachusetts, licensed in California (A200916) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Passant Hassan Ibrahim Hassa Mohamed Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Passant Mohamed's NPI number?
The NPI number for Passant Mohamed is 1104566652. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Passant Mohamed located?
Passant Mohamed practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.
What is Passant Mohamed's specialty?
The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Imaging & Therapy, with taxonomy code 207UN0902X.
Is Passant Mohamed enrolled in Medicare?
Yes. Passant Mohamed is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Passant Mohamed was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Passant Hassan Ibrahim Hassa Mohamed, MD · NPI 1104566652
Nuclear Imaging & Therapy physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1104566652 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Nuclear Medicine - Nuclear Imaging & Therapy · taxonomy 207UN0902X
- **State license:** A200916 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104566652) · Data from the CMS NPPES public registry.