Individual provider Active NPI

Hassan Ali Tokko, MD

  • Ophthalmology Physician
  • Detroit, MI
National Provider Identifier
1043877616
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4351044545 Issued in MI
Practice address
4717 Saint Antoine St
Detroit, MI 48201-1423
Phone
(313) 577-7614
NPI assigned
May 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4351044545 MI Primary

Addresses

Primary practice location

4717 Saint Antoine St
Detroit, MI 48201-1423

Mailing address

4717 Saint Antoine St
Detroit, MI 48201-1423
Phone (313) 577-7614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230627003206 MI Practitioner - Ophthalmology 3375886872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians
Alzohaili Medical Consultants MD PCGroup PAC ID 4981516564, 18 clinicians

Practice addresses (Care Compare)

26400 W 12 Mile Rd
Suite 60
Southfield, MI 48034-1774
Phone (248) 594-6702

5220 Oakman Blvd
Dearborn, MI 48126-3318
Phone (313) 203-5300

5250 Auto Club Dr
Dearborn, MI 48126-4212

Hospital & facility affiliations

  • Straith Hospital for Special Surgery Hospital, Southfield, MI, CCN 230071
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351044545MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alzohaili Medical Consultants MD PC CurrentSince Jun 1, 2025 Accepting new patients
University Physician Group Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
University Physician Group Past Accepting new patients
University Physician Group Past Accepting new patients

Locations

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126
Phone (313) 203-5300

5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300

1331 Monroe St
Dearborn, MI 48124
Phone (313) 724-4810

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

26400 W 12 Mile Rd
Ste 60
Southfield, MI 48034
Phone (248) 594-6702

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: hassan.tokko.1@11987.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGJABA/Endpoint/BGJABA
  • Direct secure messaging: hassan.tokko.1@19711.direct.athenahealth.com

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 2

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1043877616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011423",
            "telephone_number": "313-577-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011423",
            "telephone_number": "313-577-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKKO",
        "first_name": "HASSAN",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4351044545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.