Individual provider Active NPI

Mohammed Hassan, MD

  • Anesthesiology Physician
  • Westwood, MA
National Provider Identifier
1083699003
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
75083 Issued in MA
Practice address
690 Canton St Ste 240
Westwood, MA 02090-2326
Phone
(339) 204-9516
Fax
(781) 459-4698
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 75083 MA Primary

Addresses

Primary practice location

690 Canton St Ste 240
Westwood, MA 02090-2326

Mailing address

690 Canton St Ste 240
Westwood, MA 02090-2326
Phone (339) 204-9516

Other identifiers 1

IdentifierTypeStateIssuer
3122671MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090923000731 MA Practitioner - Anesthesiology 7719033323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Anesthesia Associates PLLCGroup PAC ID 0042675282, 29 clinicians

Practice addresses (Care Compare)

40 Allied Dr
Dedham, MA 02026-6146
Phone (617) 865-1110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75083MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Anesthesiology CurrentSince May 28, 2019 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince May 28, 2019 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Excel Anesthesia Associates PLLC Anesthesiology CurrentSince Apr 29, 2023 Accepting new patients

Locations

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1083699003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902326",
            "telephone_number": "339-204-9516",
            "fax_number": "781-459-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CANTON ST STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902326",
            "telephone_number": "339-204-9516",
            "fax_number": "781-459-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "75083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122671",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

Verify at the official NPI Registry.