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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOHAMED HATAB
NPI 1558949578
Family Medicine in Minneapolis, MN

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
3270 W LAKE ST, MINNEAPOLIS, MN 55416(612) 775-1800 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, Mar 10, 2026, Jul 10, 2025 and 3 more (6 updates tracked since 2021).

About Mohamed Hatab NPPES

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

MOHAMED HATAB (NPI 1558949578) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (75606) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558949578
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMOHAMED HATAB
Location Address3270 W LAKE STMinneapolis, MN 55416-4512
Mailing Address1005 Broadway StQuincy, IL 62301-2834 · (217) 223-1200 · Fax (217) 277-3960
Phone(612) 775-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateSeptember 24, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1558949578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 75606✔ Licensed in NC · 2024-02134✔ Licensed in IL · 036175061
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 036175061 (IL)
3270 W LAKE ST, Minneapolis, MN 55416
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12810 Nicollet AveMinneapolis, MN 55408-4708 · Phone (612) 873-8080
Location 21005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-1200 · Fax (217) 277-8988
Location 32700 Wayne Memorial DrGoldsboro, NC 27534-9494 · Phone (919) 587-4394 · Fax (919) 587-2998

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mohamed Hatab 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 ID4284036211
PECOS Enrollment IDI20240508000813, I20250718000387
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

3

Medicare enrollment records show Mohamed Hatab reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System
Same address
Urgent Care
3270 W LAKE ST
Minneapolis, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
NPI 1093321911 (612) 775-1800
Blessing Hospital
360 mi
Multi-Specialty
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1235656745 (Illinois)
  • 363 clinicians in this Medicare group
NPI 1114471737 (217) 223-8400
Unc Physicians Network, LLC
949 mi
Urology
1236 HUFFMAN MILL RD, SUITE 2550
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1053751586 (336) 584-6300

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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Illini Community Hospital

Critical Access Hospitals · Pittsfield, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141315
Location640 W WashingtonPittsfield, IL 62363 · Pike County
Emergency services

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 13

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

DR. AMANDA LEIGH BOOZALIS MD
Obstetrics & Gynecology
3270 W LAKE ST
MINNEAPOLIS, MN 55416
Hennepin County (612) 775-1800
ALLINA HEALTH SYSTEM
Clinic/Center (Urgent Care)
3270 W LAKE ST
MINNEAPOLIS, MN 55416
Hennepin County (612) 775-1800
MATT J KRESL PHARMD
Pharmacist
3270 W LAKE ST
MINNEAPOLIS, MN 55416
Hennepin County (612) 775-1800
FADUMO H HERSI
Nurse Practitioner (Women's Health)
3270 W LAKE ST
MINNEAPOLIS, MN 55416
Hennepin County (612) 775-1800
INDY W LANE MD
Obstetrics & Gynecology
3270 W LAKE ST
MINNEAPOLIS, MN 55416
Hennepin County (612) 775-1800
TAYLOR MARIE VASEK RN
Nurse Practitioner (Family)
3270 W LAKE ST
MINNEAPOLIS, MN 55416
Hennepin County (612) 775-1800
DR. MCKENZIE MCADARAGH DNP, ARNP, FNP-C
Nurse Practitioner (Family)
3270 W LAKE ST
MINNEAPOLIS, MN 55416
Hennepin County (612) 775-1800
CHRISTOPHER MICHAEL KIRBY PHYSICIAN ASSISTANT
Physician Assistant
3270 W LAKE ST
MINNEAPOLIS, MN 55416
Hennepin County (612) 775-1800

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 Mohamed Hatab's NPI number?

The NPI number for Mohamed Hatab is 1558949578. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Mohamed Hatab located?

Mohamed Hatab practices at 3270 W Lake St, Minneapolis, MN 55416. The listed phone number is (612) 775-1800.

What is Mohamed Hatab's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohamed Hatab enrolled in Medicare?

Yes. Mohamed Hatab 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 Mohamed Hatab's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Hatab reassigns Medicare benefits to 3 organizations: Allina Health System (Minneapolis, MN), Blessing Hospital (Quincy, IL) and Unc Physicians Network, LLC (Burlington, NC). 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 Mohamed Hatab's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Hatab accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Mohamed Hatab 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 Mohamed Hatab affiliated with any hospitals?

According to CMS data, Mohamed Hatab is affiliated with Blessing Hospital, Mc Donough District Hospital, Memorial Hospital, Illini Community Hospital and Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mohamed Hatab was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.