Individual provider Active NPI

Yasser Mohamed Hassane, M.D.

  • Pediatrics Physician
  • Macomb, MI
National Provider Identifier
1063563476
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301073850 Issued in MI
Practice address
21840 23 Mile Rd
Macomb, MI 48042-4422
Phone
(586) 840-4916
Fax
(586) 591-5929
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.084012 OH
Pediatrics Physician 208000000X 4301073850 MI Primary

Addresses

Primary practice location

21840 23 Mile Rd
Macomb, MI 48042-4422

Mailing address

21840 23 Mile Rd
Macomb, MI 48042-4422
Phone (586) 840-4916

Other identifiers 1

IdentifierTypeStateIssuer
4636550MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100901000843 MI Practitioner - Pediatric Medicine 9335271733 Reassigns benefits to 1 organization
I20240927001825 OH Practitioner - Pediatric Medicine 9335271733 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jul 15, 2024 Accepting new patients
McLaren Macomb Pediatrics CurrentSince Nov 1, 2021 Accepting new patients
Warrendale Pediatrics Pediatrics Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
McLaren Macomb Past Accepting new patients

Locations

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

L3982
Columbus, OH 43260

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Interoperability endpoints

  • Direct secure messaging: yhassane@direct.dmc.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1063563476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424422",
            "telephone_number": "586-840-4916",
            "fax_number": "586-591-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21840 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424422",
            "telephone_number": "586-840-4916",
            "fax_number": "586-591-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANE",
        "first_name": "YASSER",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.084012",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301073850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4636550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.