DR. MOHAMED IBRAHIM HASSAN MD
NPI 1629187844
Pediatrics - Neonatal-Perinatal Medicine in Du Bois, PA

Active since August 30, 2006PECOS Enrolled
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 375-6428 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mohamed Ibrahim Hassan Md NPPES

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

DR. MOHAMED IBRAHIM HASSAN MD (NPI 1629187844) is an individual neonatal-perinatal medicine provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD431731) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629187844
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MOHAMED IBRAHIM HASSANCredential: MD
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing AddressPo Box 447Du Bois, PA 15801-0447 · (814) 372-2353 · Fax (814) 372-2353
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 27, 2011
✔ NPI 1629187844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in PA · MD431731
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
100 HOSPITAL AVE, Du Bois, PA 15801

Other Identifiers 4

Medicaid1019549100001PA
Medicaid227278OR
Medicare PIN168579PA
Medicare UPINH59025PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohamed Ibrahim Hassan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mohamed Hassan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
100 HOSPITAL AVE, NEONATAL INTENSIVE CARE UNIT
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 13 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.

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
100 HOSPITAL AVE
DU BOIS, PA 15801
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801

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 Hassan's NPI number?

The NPI number for Mohamed Hassan is 1629187844. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mohamed Hassan located?

Mohamed Hassan practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 375-6428.

What is Mohamed Hassan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mohamed Hassan enrolled in Medicare?

Yes. Mohamed Hassan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohamed Hassan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Hassan reassigns Medicare benefits to Dubois Regional Medical Center (Du Bois, PA). The 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 Hassan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mohamed Hassan was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.