Individual provider Active NPI

Syed Safder Abbas Hasan, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Jonesboro, AR
National Provider Identifier
1013400407
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
E-19376 Issued in AR
Practice address
800 S Main St
Jonesboro, AR 72401-3548
Phone
(870) 932-7024
NPI assigned
Jun 11, 2018
Reactivated
May 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X E-19376 AR Primary

Addresses

Primary practice location

800 S Main St
Jonesboro, AR 72401-3548

Mailing address

1364 Clifton Road, NE
Office of Surgical Education, Suite H100
Atlanta, GA 30322
Phone (404) 727-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251122001146 AR Practitioner - General SurgeryPractitioner - Hand Surgery 6901398452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Hand Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

800 S Church St
Suite 204
Jonesboro, AR 72401-4176
Phone (870) 336-7410

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-19376ARMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Sep 21, 2025 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Nov 15, 2025 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Doctors Health Group, Inc. PastSince Sep 21, 2025 Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

800 S Church St
Ste 204
Jonesboro, AR 72401
Phone (870) 336-7410

800 S Main St
Jonesboro, AR 72401
Phone (870) 932-7024

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1013400407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON ROAD, NE",
            "address_2": "OFFICE OF SURGICAL EDUCATION, SUITE H100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-727-0093",
            "fax_number": "404-712-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013548",
            "telephone_number": "870-932-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SYED SAFDER ABBAS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "deactivation_date": "2019-01-25",
        "reactivation_date": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "AR",
            "license": "E-19376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.