CMS-1500 Box 24J / 33a • NPI
1881827699
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1005 BROADWAY ST, QUINCY, IL, 62301-2834
✓ 9-Digit EDI 837 ZIP+4 (62301-2834)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1881827699 (MUTHANNA AL HASAN, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1881827699)
Medicare Beneficiaries
123
Total Billed Services
442
Distinct CPT/HCPCS Codes
20
Medicare Allowed Total
$78,757.44
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 17 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 75 |
99291 | Critical care, first 30-74 minutes | 287 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1881827699 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MUTHANNA AL HASAN, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RC0200X (Internal Medicine, Critical Care Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 1005 BROADWAY ST, QUINCY, IL, 62301-2834 |
| Practice Telephone / Fax | Tel: (217) 223-1200 | Fax: (217) 277-8988 |
| Administrative Mailing Address | 1005 BROADWAY ST, QUINCY, IL, 62301-2834 |
| Enumeration & Last Sync | Enumerated: 2009-08-27 | CMS Record Updated: 2026-09-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RC0200X)
What Does Taxonomy Code 207RC0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MUTHANNA AL HASAN, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RC0200X — Internal Medicine, Critical Care MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IL | License: 036181847 | Primary: Yes (Primary) |
207RC0200X — Internal Medicine, Critical Care MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MO | License: 2012012807 | Primary: Secondary |
207RG0300X — Internal Medicine, Geriatric MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MI | License: 4301095340 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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