Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hasan M Qutob, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1285793521

Hasan M Qutob, MD is an Internal Medicine in Michigan City, Indiana. Qualified in 1987, 39 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Michigan.

Years since qualifying
39
Licensed in
IN, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1225 E Coolspring Ave Ste 2C
Michigan City, IN 46360-6312
Phone: (219) 877-1298
Fax: (219) 877-1016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 817 W High St, Jackson, MI 49203-2986 — (734) 604-9626

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 01050642A (IN)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 4301070269 (MI)

Record details

NPI number1285793521
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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