MAHMOUD F HASSUNEH MD
NPI 1811973530
Internal Medicine in Anderson, IN

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
1515 N MADISON AVE, ANDERSON, IN 46011(765) 298-4242(317) 355-8734 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2022, Sep 21, 2020, Apr 14, 2017 (3 updates tracked since 2017).

About Mahmoud F Hassuneh Md NPPES

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

MAHMOUD F HASSUNEH MD (NPI 1811973530) is an individual internal medicine provider in Anderson, Indiana, licensed in Indiana (01045596) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1811973530
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAHMOUD F HASSUNEHCredential: MD
Location Address1515 N MADISON AVEAnderson, IN 46011-3453
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Fax(317) 355-8734
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateDecember 15, 2005
Last NPPES UpdateJuly 26, 20223 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
NPI 1811973530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01045596
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1515 N MADISON AVE, Anderson, IN 46011

Secondary Practice Location 1

Location 17250 Clearvista Dr Ste 355Indianapolis, IN 46256-5609 · Phone (317) 621-5678

Other Identifiers 3

OtherP01291567IN · Railroad Medicare
Other000000603504IN · Anthem - Tipton Hospital
Medicaid200187390IN

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

Mahmoud F Hassuneh Md 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 ID547211948
PECOS Enrollment IDI20050202000968
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 6

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.
556 services264 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
291 services268 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
133 services116 patients
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.
122 services120 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.
75 services44 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46011 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier25 claims25 services$15.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier30 claims30 services$68.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1515 N MADISON AVE
ANDERSON, IN 46011
Emergency Medicine
1515 N MADISON AVE, EMERGENCY DEPARTMENT
ANDERSON, IN 46011
Emergency Medicine
1515 N MADISON AVE
ANDERSON, IN 46011
Nurse Practitioner
1515 N MADISON AVE
ANDERSON, IN 46011
Anesthesiology
1515 N MADISON AVE
ANDERSON, IN 46011
Internal Medicine
1515 N MADISON AVE
ANDERSON, IN 46011
Emergency Medicine
1515 N MADISON AVE, EMERGENCY DEPARTMENT
ANDERSON, IN 46011
Anesthesiology
1515 N MADISON AVE
ANDERSON, IN 46011

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 Mahmoud Hassuneh's NPI number?

The NPI number for Mahmoud Hassuneh is 1811973530. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Mahmoud Hassuneh located?

Mahmoud Hassuneh practices at 1515 N Madison Ave, Anderson, IN 46011. The listed phone number is (765) 298-4242.

What is Mahmoud Hassuneh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mahmoud Hassuneh enrolled in Medicare?

Yes. Mahmoud Hassuneh 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 Mahmoud Hassuneh accept?

Health plans from CareSource list Mahmoud Hassuneh 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 Mahmoud Hassuneh affiliated with any hospitals?

According to CMS data, Mahmoud Hassuneh is affiliated with Community Hospital East, Ascension St Vincent Anderson and Community Hospital Of Anderson And Madison County.

When was this NPI record last updated?

The NPPES record for Mahmoud Hassuneh was last updated on July 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.