Individual provider Active NPI

Hassan Kassamali, M.D.

  • Specialist
  • Baltimore, MD
National Provider Identifier
1053324962
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0046126 Issued in MD
Practice address
17 Fontana LN
Suite 101
Baltimore, MD 21237-3042
Phone
(410) 687-0000
Fax
(410) 391-8656
NPI assigned
Aug 14, 2006
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0046126 MD Primary

Addresses

Primary practice location

17 Fontana LN
Suite 101
Baltimore, MD 21237-3042

Mailing address

17 Fontana LN
Suite 101 & 103
Rosedale, MD 21237-3042
Phone (410) 687-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101130000861 MD Practitioner - Cardiovascular Disease (Cardiology) 1254527633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hassan Kassamali, MD PAGroup PAC ID 5092901470, 2 clinicians

Practice addresses (Care Compare)

17 Fontana LN
Suite 101
Rosedale, MD 21237-3017
Phone (410) 687-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.14 of 100Reported as group
Quality
95.55
Promoting interoperability
95
Improvement activities
40
Cost
91.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jan 26, 2023 Accepting new patients
Hassan Kassamali, MD PA CurrentSince Jan 1, 1994 Accepting new patients
Medstar Heart Institute LLC CurrentSince Mar 1, 2024 Accepting new patients
Rockville Cardiology Center PC Past Accepting new patients

Locations

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

17 Fontana Ln
Ste 101
Rosedale, MD 21237
Phone (410) 687-0000

17 Fontana Ln
Ste 101103
Rosedale, MD 21237

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

9105 Franklin Square Dr
Ste 209
Rosedale, MD 21237
Phone (410) 574-1330

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCEJBA/Endpoint/HCEJBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1053324962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FONTANA LN",
            "address_2": "SUITE 101 & 103",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373042",
            "telephone_number": "410-687-0000",
            "fax_number": "410-391-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FONTANA LN",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373042",
            "telephone_number": "410-687-0000",
            "fax_number": "410-391-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAMALI",
        "first_name": "HASSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0046126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.