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: July 26, 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 1410 Celebration Pl Ste 106Celebration, FL 34747-5432 · Phone (407) 303-4829 · Fax (407) 303-4851
Location 2609 Medical Care Dr # 4.234Brandon, FL 33511-5942 · Phone (813) 685-5100 · Fax (813) 685-6797
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, and ordering and referring status from the CMS PECOS system.

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 IDI20240426001457, I20250918003044
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.

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 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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services 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.

What insurance does Sohaib Hassan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 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 Cobb Medical Center, Christus Good Shepherd 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 with the weekly NPPES data releases published by CMS.