Individual ProviderHasan AladiliInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831(502) 629-5552(502) 588-9490PECOS EnrollmentBased on the most recent information from CMS, provider Hasan Aladili is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1306378534Provider TypeIndividualFull NameAladili, HasanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/28/2017Last Updated2/9/2023Contact InformationPractice LocationPractice Address200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831Phone(502) 629-5552Fax(502) 629-3132Mailing LocationMailing AddressPO Box 776351, Chicago, IL 60677-6351Phone(502) 588-9490Fax(502) 272-5116Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense53637KentuckyProvider IdentifiersIDDescriptionIssuerID300041057DescriptionMedicaidIssuerUnlistedIndianaID7100680770DescriptionMedicaidIssuerUnlistedKentuckyIDK333250DescriptionOtherIssuerMEDICAREKentucky