Individual provider Active NPI

Mohammad A S a Hasan, MD,MS, FRCPC, DABR

  • Radiation Oncology Physician
National Provider Identifier
1053966465
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A167946 Issued in CA
Practice address
Cleveland Clinic Abu Dhabi
59 Hamouda Bin Ali Al Dhaheri St, Al Maryah
Abu Dhabi, ABU DHABI 00000
AE
NPI assigned
Aug 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A167946 CA Primary

Addresses

Primary practice location

Cleveland Clinic Abu Dhabi
59 Hamouda Bin Ali Al Dhaheri St, Al Maryah
Abu Dhabi, ABU DHABI 00000
AE

Mailing address

Cleveland Clinic Abu Dhabi
59 Hamouda Bin Ali Al Dhaheri St, Al Maryah
Abu Dhabi, ABU DHABI 00000
AE

Other identifiers 1

IdentifierTypeStateIssuer
A167946OtherCACALIFORNIA MEDICAL BOARD

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
I20231226000332 MI Practitioner - Radiation Oncology 0446606370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians
Advantage Health/Saint Mary'S Medical GroupGroup PAC ID 4082807961, 499 clinicians

Practice addresses (Care Compare)

1140 E Michigan Ave
100 Sparrow Cancer Center
Lansing, MI 48912-1806
Phone (517) 364-9402

250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5600

Hospital & facility affiliations

  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167946CAMDRadiation Oncology Physician
4301501156MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Radiation Oncology CurrentSince Apr 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 1, 2025 Accepting new patients
West Michigan Radiation Oncology Radiation Oncology CurrentSince Nov 14, 2023 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

250 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5600

1140 E Michigan Ave
Ste 200
Lansing, MI 48912
Phone (517) 364-9400

1140 E Michigan Ave
Ste 100
Lansing, MI 48912
Phone (517) 364-9402

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

Interoperability endpoints

  • Direct secure messaging: mhasan2924633@direct.trinity-health.org

Organizations & group practices 8

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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1053966465",
    "addresses": [
        {
            "country_code": "AE",
            "country_name": "United Arab Emirates",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CLEVELAND CLINIC ABU DHABI",
            "address_2": "59 HAMOUDA BIN ALI AL DHAHERI ST, AL MARYAH",
            "city": "ABU DHABI",
            "state": "ABU DHABI",
            "postal_code": "00000"
        },
        {
            "country_code": "AE",
            "country_name": "United Arab Emirates",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "CLEVELAND CLINIC ABU DHABI",
            "address_2": "59 HAMOUDA BIN ALI AL DHAHERI ST, AL MARYAH",
            "city": "ABU DHABI",
            "state": "ABU DHABI",
            "postal_code": "00000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MOHAMMAD",
        "middle_name": "A S A",
        "name_prefix": "Dr.",
        "credential": "MD,MS, FRCPC, DABR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-04",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A167946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "A167946",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.