SOHAIB HASSAN M.D
NPI 1407169113
Internal Medicine - Gastroenterology in Milwaukee, WI

Active since July 22, 2010PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215(414) 908-6601 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2024, Oct 19, 2020, May 9, 2017 and 2 more (5 updates tracked since 2017).

About Sohaib Hassan M.d NPPES

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

SOHAIB HASSAN M.D (NPI 1407169113) is an individual gastroenterology provider in Milwaukee, Wisconsin, licensed in Wisconsin (82627-20) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407169113
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSOHAIB HASSANCredential: M.D
Location Address2801 W KINNICKINNIC RIVER PKWY STE 1080Milwaukee, WI 53215-3689
Mailing Address2801 W Kinnickinnic River Pkwy Ste 1080Milwaukee, WI 53215-3689 · (414) 908-6601
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 22, 2010
Last NPPES UpdateJuly 16, 20255 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1407169113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in WI · 82627-20✔ Licensed in TX · Q4975✔ Licensed in FL · ME146942
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2801 W KINNICKINNIC RIVER PKWY STE 1080, Milwaukee, WI 53215

Secondary Practice Locations 3

Location 1609 Medical Care Dr # 4.234Brandon, FL 33511-5942 · Phone (813) 685-5100 · Fax (813) 685-6797
Location 2410 Celebration Pl Ste 106Celebration, FL 34747-5432 · Phone (407) 303-4829 · Fax (407) 303-4851
Location 3701 E Marshall Ave Ste 200Longview, TX 75601-5544 · Phone (903) 236-2222

Other Identifiers 1

Medicaid107956600FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sohaib Hassan M.d 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.

PECOS PAC ID1557595592
PECOS Enrollment IDI20250918003044
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

10

Medicare enrollment records show Sohaib Hassan reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
Gastroenterology
2801 W KK RIVER PKWY STE 1080
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 45 clinicians in this Medicare group
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
Internal Medicine
1266 HIGHWAY 515 S
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 317 clinicians in this Medicare group
Family Medicine
12 MEDICAL DR NE
Cartersville, GA 30121
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
Gastroenterology
609 MEDICAL CARE DR
Brandon, FL 33511
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

Nurse Practitioner (Family)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Pediatrics (Pediatric Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215

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 Sohaib Hassan's NPI number?

The NPI number for Sohaib Hassan is 1407169113. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Where is Sohaib Hassan located?

Sohaib Hassan practices at 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215. The listed phone number is (414) 908-6601.

What is Sohaib Hassan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sohaib Hassan enrolled in Medicare?

Yes. Sohaib Hassan 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.

Which organizations bill Medicare for Sohaib Hassan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sohaib Hassan reassigns Medicare benefits to 10 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Gi Associates LLC (Milwaukee, WI), Piedmont Providers LLC (Jasper, GA), Piedmont Specialty Hospital Billing LLC (Jasper, GA), Wellstar Medical Group, LLC (Cartersville, GA) and 5 more organizations, listed in the Medicare section above. 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 Sohaib Hassan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sohaib Hassan accept?

Health plans from Aspirus Health Plan, AvMed, CareSource (Common Ground Healthcare), Network Health and Oscar Health and 2 other insurers list Sohaib Hassan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sohaib Hassan affiliated with any hospitals?

According to CMS data, Sohaib Hassan is affiliated with Piedmont Augusta Hospital, Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Sohaib Hassan was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.