NAEL HASAN MD NPI 1427008234
Emergency Medicine in Fredericksburg, VA

About NAEL HASAN MD

Nael Hasan is a provider established in Fredericksburg, Virginia and his medical specialization is Emergency Medicine. The NPI number of Nael Hasan is 1427008234 and was assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X with license number 0101234325 (VA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1427008234
Provider Name NAEL HASAN MD
Location Address1001 SAM PERRY BLVD FREDERICKSBURG, VA 22401
Location Phone(540) 741-1137
Mailing AddressPO BOX 888 FREDERICKSBURG, VA 22404
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date05-11-2006
Last Update Date05-06-2008

Nael Hasan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.0101234325
License StateVA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

NAEL HASAN MD
1001 SAM PERRY BLVD
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 741-1137

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Mailing Address

NAEL HASAN MD
PO BOX 888
FREDERICKSBURG, VA
ZIP 22404
Phone: (866) 898-7138
Fax: (616) 975-9824


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 85.5
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 87.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
010401127MEDICAID (05)VA
005883296MEDICAID (05)VA
P00400901MEDICARE PIN (08)
H61978MEDICARE UPIN (02)
012656F01MEDICARE PIN (08)
001306L96MEDICARE ID-TYPE UNSPECIFIED (04)VA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427008234
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447001626
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 0 + 1 + 6 + 2 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1427008234 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942293238MS. PAULA CARMELA LAURIA MSN-CRNA
Individual
Nurse Anesthetist, Certified Registered1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-7614
1447241708 BRUCE H DORMAN MD
Individual
Anesthesiology1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-7614
1528059888 JAMES W GUNN MD
Individual
Anesthesiology1001 SAM PERRY BLVD C/O JACKIE GOMEZ
FREDERICKSBURG, VA 22401
(540) 741-7614
1609859487DR. PATRICK JAMES MCHUGH DO
Individual
Emergency Medicine1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1215914130 AYE MIN MD
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 361-1000
1144280223 ADAM H SIMS MD
Individual
Emergency Medicine1001 SAM PERRY BLVD EMERGENCY DEPT., MWH
FREDERICKSBURG, VA 22401
(540) 741-1167
1245294750DR. JYOTI AMIN M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1001 SAM PERRY BLVD NEONATOLOGY OFFICE
FREDERICKSBRG, VA 22401
(540) 741-4745
1821047077 GEORGE FISH M.D.
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1571
1508816935 LAWRENCE SOUTHWORTH M.D.
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1571
1457300808 MICHAEL MCDERMOTT M.D.
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1571
1013967488 DAVID SCOTT M.D.
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1571
1063467975MEDIDOCTORS PRIMARY CARE LLC
Organization
Internal Medicine (Infectious Disease)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1428
1205874054 TIMOTHY D WEBER MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1023056793 DARIN MICHAEL UPDYKE PA
Individual
Physician Assistant (Medical)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1841238516 PETER C OBER PA
Individual
Physician Assistant (Medical)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1750329421 RICKARD K DALBERG MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1285672956 AMY L BARABASZ MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1265470934 COLEEN A RICKABAUGH MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1770521239 ANDREW A GARVIE MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1861430332 ANTHONY L ANKER MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167

Frequently Asked Questions

What is Nael Hasan MD NPI number?

The NPI number assigned to Nael Hasan MD is 1427008234, registered as an "individual" on May 11, 2006

Where is Nael Hasan MD located?

The provider is located at 1001 Sam Perry Blvd Fredericksburg, Va 22401 and the phone number is (540) 741-1137

Which is Nael Hasan MD specialty?

The provider's speciality is Emergency Medicine

What insurance does Nael Hasan MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Nael Hasan MD registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Nael Hasan MD Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to Nael Hasan MD?

Medicare beneficiaries should expect a typical cost of $90.36 with an average copayment of $22.59 for new patient appointments. Established patients should expect a typical charge of $104.32 and an average copayment of 26.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Nael Hasan MD was last updated on May 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]