SUMMER MUSTAFA HASSAN D.O. NPI 1154736452

NPI Information

  • NPI: 1154736452
  • Provider Name: SUMMER MUSTAFA HASSAN, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 FRANKLIN AVE
    SUITE #110
    NORMAL, IL
    ZIP 61761
  • Phone: (309) 268-3502

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NPI Details

Summer Mustafa Hassan, D.O. is a family medicine in Normal, IL with 12 years of experience. The provider is 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. Summer Mustafa Hassan, D.O. NPI is 1154736452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2014

The provider's business location address is:

1300 FRANKLIN AVE
SUITE #110
NORMAL, IL
ZIP 61761-592
Phone: (309) 268-3502
Fax: (309) 268-3713

The NPI 1154736452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Intravenous infusion, sotrovimab, includes infusion and post administration monitoring (HCPCS:M0247)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Infusion, normal saline solution, 250 cc (HCPCS:J7050)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Urinalysis, manual test (HCPCS:81002)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 6/25/2014 and was last updated on 6/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine125065755ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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