Active NPI
Yasser Mohamed Hassane, M.D.
- Pediatrics Physician
- Macomb, MI
National Provider Identifier
1063563476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301073850
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4636550 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| McLaren Macomb | Pediatrics | Current | 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
- 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.
-
- Specialist
- Lima, OH
- NPI 1457474900
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.