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HASAN NEZAM MD
NPI 1144500364
Preventive Medicine - Occupational Medicine in Philadelphia, PA

Active since August 18, 2011PECOS Enrolled
3400 SPRUCE STREET, RAVDIN 2ND FLOOR, PHILADELPHIA, PA 19104(215) 662-6408 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, May 17, 2024, May 21, 2018 (3 updates tracked since 2018).

About Hasan Nezam Md NPPES

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

HASAN NEZAM MD (NPI 1144500364) is an individual occupational medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD475223) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1144500364
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameHASAN NEZAMCredential: MD
Location Address3400 SPRUCE STREET, RAVDIN 2ND FLOORPhiladelphia, PA 19104-4238
Mailing Address3600 Civic Center BlvdPhiladelphia, PA 19104 · (215) 662-6408
Phone(215) 662-6408
Sole ProprietorYes
Enumeration DateAugust 18, 2011
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1144500364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in PA · MD475223
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
3400 SPRUCE STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 14802 10th AveBrooklyn, NY 11219 · Phone (718) 283-6078

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hasan Nezam 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hasan Nezam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Care Associates Of The University Of Pennsylvania Health Syst
2.1 mi
Urgent Care
1930 SOUTH BROAD ST, UNIT 28, PENN URGENT CARE SOUTH PHILADELPHIA
Philadelphia, PA 19145
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
  • 983 clinicians in this Medicare group
NPI 1508380452 (215) 419-7500
Clinical Health Care Associates Of New Jersey, PC
11 mi
Internal Medicine
409 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 793 clinicians in this Medicare group
NPI 1134278971 (856) 427-4336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

SARAH KUMAR M.D.
Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
RYAN MCCLINTOCK MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
ADRIAN W ONG MD
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7320
MATHEW N BESHARA MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JILL E LANGER MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7012
BERNADETTE C WHEELER MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2730
EDWARD T DICKINSON MD
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6698
WENDY RACHEL GALPERN MD, PHD
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2219

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 Hasan Nezam's NPI number?

The NPI number for Hasan Nezam is 1144500364. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Hasan Nezam located?

Hasan Nezam practices at 3400 Spruce Street Ravdin 2nd Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-6408.

What is Hasan Nezam's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Hasan Nezam enrolled in Medicare?

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

Which organizations bill Medicare for Hasan Nezam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hasan Nezam reassigns Medicare benefits to 2 organizations: Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA) and Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hasan Nezam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hasan Nezam was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.