Passant Hassan Ibrahim Hassa Mohamed, MD
Nuclear Medicine, Nuclear Imaging & Therapy in Worcester, MA. Individual provider (NPI-1).
NPI number1104566652
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1104566652
- Entity type
- Individual (NPI-1)
- Name
- Passant Hassan Ibrahim Hassa Mohamed
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2022
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207UN0902X | Nuclear Medicine, Nuclear Imaging & Therapy | A200916 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 508-334-1000
Mailing address
211 E Beacon St Apt AAlhambra, CA 91801-6189
Phone 626-510-7292
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