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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MOHAMMED MOIZUL HASSAN MD
NPI 1194456103
Internal Medicine in La Porte, IN

Active since June 21, 2022PECOS Enrolled
1331 STATE ST # 340, LA PORTE, IN 46350(219) 326-1234 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Jun 25, 2025, Jun 17, 2025 (3 updates tracked since 2025).

About Mohammed Moizul Hassan Md NPPES

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

MOHAMMED MOIZUL HASSAN MD (NPI 1194456103) is an individual internal medicine provider in La Porte, Indiana, licensed in Indiana (01098602A) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194456103
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAMMED MOIZUL HASSANCredential: MD
Location Address1331 STATE ST # 340La Porte, IN 46350-3112
Mailing Address1331 State St # 340La Porte, IN 46350-3112
Phone(219) 326-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 21, 2022
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1194456103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01098602A✔ Licensed in IL · 125.080257
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.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 036.175601 (IL)
1331 STATE ST # 340, La Porte, IN 46350
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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)

Mohammed Moizul Hassan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335654953
PECOS Enrollment IDI20260605000820
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 46350 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

MARISSA BOTTOS FNP, APRN
Nurse Practitioner (Family)
1331 STATE ST # 340
LA PORTE, IN 46350
Laporte County (219) 324-0875

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 Moizul Hassan's NPI number?

The NPI number for Mohammed Moizul Hassan is 1194456103. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Mohammed Moizul Hassan located?

Mohammed Moizul Hassan practices at 1331 State St # 340, La Porte, IN 46350. The listed phone number is (219) 326-1234.

What is Mohammed Moizul Hassan's specialty?

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

Is Mohammed Moizul Hassan enrolled in Medicare?

Yes. Mohammed Moizul Hassan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammed Moizul Hassan was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.