NPIMap

Individual provider Active NPI

Ali A M Hassoun, MD

  • Infectious Disease Physician
  • Huntsville, AL
National Provider Identifier
1063404978
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25943 Issued in AL
Practice address
420 Lowell Dr SE
Suite 301
Huntsville, AL 35801-3754
Phone
(256) 265-7955
Fax
(256) 265-7954
NPI assigned
Aug 17, 2005
Last updated
Oct 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25943 AL Primary

Addresses

Primary practice location

420 Lowell Dr SE
Suite 301
Huntsville, AL 35801-3754

Mailing address

420 Lowell Dr SE
Suite 301
Huntsville, AL 35801-3754
Phone (256) 265-7955

Other identifiers 1

IdentifierTypeStateIssuer
009970955MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000580 AL Practitioner - Infectious DiseasePractitioner - Internal Medicine 5193781623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Infectious Disease Center P.C.Group PAC ID 2860458395, 3 clinicians

Practice addresses (Care Compare)

420 Lowell Dr SE
Suite 301
Huntsville, AL 35801-3762
Phone (256) 265-7955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.43 of 100Reported as group
Quality
58.19
Improvement activities
40
Cost
77.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25943ALMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Infectious Disease Center P.C. Infectious Disease CurrentSince Aug 1, 2004 Accepting new patients
North Alabama Specialty Hospital CurrentSince Nov 1, 2020 Accepting new patients
North Alabama Specialty Hospital CurrentSince Nov 1, 2020 Accepting new patients

Locations

107 Governors Dr SW
Huntsville, AL 35801
Phone (256) 417-9986

420 Lowell Dr SE
Ste 301
Huntsville, AL 35801
Phone (256) 265-7955

1000 Chinaberry Dr
Ste 200
Bossier City, LA 71111

Interoperability endpoints

  • Direct secure messaging: ali.hassoun@alainfect.direct.medconnect-inc.com

Organizations & group practices 3

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 5

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1063404978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE",
            "address_2": "SUITE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013754",
            "telephone_number": "256-265-7955",
            "fax_number": "256-265-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE",
            "address_2": "SUITE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013754",
            "telephone_number": "256-265-7955",
            "fax_number": "256-265-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSOUN",
        "first_name": "ALI",
        "middle_name": "A M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "25943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009970955",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.