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DR. MOHAMMED MUSTAFA HASAN MD
NPI 1114676020
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Active since March 20, 2022PECOS Enrolled
400 W 16TH ST, PUEBLO, CO 81003(719) 595-7585 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mohammed Mustafa Hasan Md NPPES

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

DR. MOHAMMED MUSTAFA HASAN MD (NPI 1114676020) is an individual student in an organized health care education/training program in Pueblo, Colorado and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114676020
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MOHAMMED MUSTAFA HASANCredential: MD
Location Address400 W 16TH STPueblo, CO 81003-2781
Mailing Address400 W 16th StPueblo, CO 81003-2781 · (719) 584-4561
Phone(719) 595-7585
Sole ProprietorNo
Enumeration DateMarch 20, 2022
Last NPPES UpdateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1114676020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 W 16TH ST, Pueblo, CO 81003
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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)

Dr. Mohammed Mustafa Hasan Md 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.

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.

MISS EMILY ANNE KEARNEY RDN
Dietitian, Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4994
CHRISTOPHER JON STARK
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-2218
MARY RUSSO DO
Emergency Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4306
DR. DARYA BLEDNOVA MD
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (970) 624-2403
LARA KJURSTON KNOWLES CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000
KAYLA TOENNIS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
DR. SHAUN MICHAEL PITTS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
JAMIE YI
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000

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 Mohammed Hasan's NPI number?

The NPI number for Mohammed Hasan is 1114676020. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Mohammed Hasan located?

Mohammed Hasan practices at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 595-7585.

What is Mohammed Hasan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mohammed Hasan enrolled in Medicare?

Yes. Mohammed Hasan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammed Hasan was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.